Closer to a reserving/reporting-cycle role than a pricing-underwriting partner—the recurring financial close and regulatory deadlines define its operating rhythm.
Remote Health actuarial manager role based in Nevada, supporting CareOregon's Medicare, Medicaid, and broader managed-care operations. You will lead IBNR and liability estimation, cost and utilization analysis, forecasting, ROI evaluation, regulatory reporting, and a team of actuarial professionals. The role requires an ASA and at least five years of health insurance actuarial experience.
Requirements
Must have
Associate of the Society of Actuaries (ASA)
Minimum 5 years' experience in actuarial services related to health care
Work experience in health insurance
Strongly preferred
Minimum 2 years' supervisory experience or 1 year with completion of Aspiring Leaders Program
Fellow of the Society of Actuaries
Experience with Medicaid and Medicare
Experience estimating IBNR, risk adjustment transfers, and other health care liabilities
Experience analyzing health care cost and utilization data
Extensive knowledge of managed care and the Oregon Health Plan
Proficient with SAS, SQL, and/or R
Advanced Excel skills
Ability to develop and maintain Tableau dashboards
Skills & Domain
ToolsExcelTableau
DomainManaged care and Oregon Health PlanEstimating IBNR and risk adjustment transfersHealth care cost and utilization analysis