Director, Actuarial Services

Job not on LinkedIn

October 26

🥔 Idaho – Remote

Although this job is listed in Idaho, this company may be open to hiring remote in other states.

🌲 Oregon – Remote

Although this job is listed in Oregon, this company may be open to hiring remote in other states.

+3 more states

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

💵 $203.5k - $248.8k / year

⏰ Full Time

🔴 Lead

📊 Actuary

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CareOregon

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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.

501 - 1000 employees

Founded 1994

⚕️ Healthcare Insurance

🤝 Non-profit

📋 Description

• Directs actuarial services across the organization in support of Medicaid, Medicare, and other populations • Leads execution of strategic initiatives, plans, and goals for areas of oversight in alignment with organizational vision and goals • Develops, evaluates, and maintains financial terms of value-based payment models to support delivery system transformation • Advises leadership on improving CareOregon’s strategic and financial positioning • Provides Medicaid rate setting support through data analysis, policy review and strategy development • Ensures complete and accurate encounter data is submitted to support the rate setting process • Develops profitability analytics to support evaluation by provider group, condition and other indicators • Reviews guidance on actuarial estimates of IBNR, PDR and other assets and liabilities

🎯 Requirements

• Minimum 10 years’ experience in actuarial services, finance, or analytics • Work experience in health insurance, preferably Medicaid and Medicare • Minimum Associate of the Society of Actuaries • Preferred Bachelor’s Degree in Actuarial Science, Finance, Mathematics, Economics or related field • Fellow of the Society of Actuaries • Minimum 4 years’ experience in a supervisory position • Experience with value-based provider contracting models

🏖️ 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 and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings) • Strong retirement plan with employer contributions • PTO and Paid State Sick Time based on hours worked/scheduled hours • Paid holidays, volunteer time, jury duty, bereavement leave, and more