Actuarial Services Manager

🕒 April 30

🥔 Idaho, Oregon, +3 more states – Remote

🥔 Idaho – Remote 🌲 Oregon – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🧀 Wisconsin – Remote

💵 $167.1k - $204.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

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CareOregon

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1994

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

CareOregon is a community-focused health plan that provides coordinated physical, behavioral, dental and social-support services to Oregon Health Plan members, serving more than 500,000 people. The organization operates provider and member portals, offers care coordination, telehealth, language and tribal services, community grants and outreach, and programs addressing social determinants of health such as housing, nutrition and transportation.

📋 Description

• Manage the actuarial and financial components of value-based payment (VBP) activity and provider network reimbursement models • Provide input in the development of VBP and other reimbursement models • Operationalize reporting and settlement calculations, analyze performance, and communicate results and findings • Collaborate with internal leaders to develop and maintain quality incentive payment strategies and risk models • Advise leadership on improving CareOregon’s strategic and financial positioning • Act as a subject matter expert on value-based payment models • Ensure monthly and quarterly reporting is produced in accordance with contractual terms • Analyze performance and identify opportunities to reduce costs and improve quality • Lead the development, communication, and oversight of team and individual goals

🎯 Requirements

• Minimum 5 years’ experience in actuarial services related to health care • Associate of the Society of Actuaries • Minimum 2 years’ experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of CareOregon’s Aspiring Leaders Program • Fellow of the Society of Actuaries • Experience with value-based provider contracting models • Work experience in health insurance • Experience with Medicaid and Medicare • Bachelor’s Degree in Actuarial Science, Finance, Mathematics, Economics, or related field required

🏖️ Benefits

• medical, dental, vision, life, AD&D, and disability insurance • health savings account • flexible spending account(s) • lifestyle spending account • employee assistance program • wellness program • discounts • multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.) • strong retirement plan with employer contributions • PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state • paid holidays • volunteer time • jury duty • bereavement leave