Actuarial Services Manager - Corporate at CareOregon

Salary: $170k - $208k
Experience: 5+ Years

This position is archived. Acturhire has detected that this position is no longer accepting applications.

Role Summary

Role type

Health reserving and reporting manager

A reserving/reporting-cycle role rather than a capital strategy role, because recurring financial close and regulatory deadlines define the operating cadence.

Remote Health actuarial manager role supporting CareOregon’s Actuarial Services team from Montana. You’ll lead IBNR and health liability estimates, cost and utilization forecasting, ROI analysis, regulatory reporting, and financial performance analysis for Medicaid and Medicare, while managing actuarial staff and partnering with business leaders.

Requirements

Must have

Minimum 5 years’ experience in actuarial services related to health care
Work experience in health insurance
Associate of the Society of Actuaries (ASA)

Strongly preferred

Minimum 2 years’ supervisory experience (or 1 year with Aspiring Leaders Program)
Fellow of the Society of Actuaries (FSA)
Experience with Medicaid and Medicare
Experience estimating IBNR, risk adjustment transfers, and other health care liabilities and assets
Experience analyzing health care cost and utilization data
Extensive knowledge of managed care and the Oregon Health Plan
Knowledge of various methods of estimating IBNR and other reserves
Ability to construct and use actuarial cost models for cost and utilization, trend, and benchmarking analysis
Proficient with SAS, SQL, and/or R
Advanced Excel skills
Ability to develop and maintain Tableau dashboards
Ability to develop and lead high performing team members

Skills & Domain

ToolsExcelTableau

DomainHealth care actuarial services experienceHealth insurance work experienceMedicaid and Medicare experienceIBNR estimation and risk adjustmentHealth care cost and utilization analysis

Role Summary

Role type

Health reserving and reporting manager

A reserving/reporting-cycle role rather than a capital strategy role, because recurring financial close and regulatory deadlines define the operating cadence.

Requirements

Must have

Minimum 5 years’ experience in actuarial services related to health care
Work experience in health insurance
Associate of the Society of Actuaries (ASA)

Strongly preferred

Minimum 2 years’ supervisory experience (or 1 year with Aspiring Leaders Program)
Fellow of the Society of Actuaries (FSA)
Experience with Medicaid and Medicare
Experience estimating IBNR, risk adjustment transfers, and other health care liabilities and assets
Experience analyzing health care cost and utilization data
Extensive knowledge of managed care and the Oregon Health Plan
Knowledge of various methods of estimating IBNR and other reserves
Ability to construct and use actuarial cost models for cost and utilization, trend, and benchmarking analysis
Proficient with SAS, SQL, and/or R
Advanced Excel skills
Ability to develop and maintain Tableau dashboards
Ability to develop and lead high performing team members

Skills & Domain

ToolsExcelTableau

DomainHealth care actuarial services experienceHealth insurance work experienceMedicaid and Medicare experienceIBNR estimation and risk adjustmentHealth care cost and utilization analysis

Role Summary

Role type

Requirements

Must have

Strongly preferred

Skills & Domain

Role Summary

Role type

Requirements

Must have

Strongly preferred

Skills & Domain

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