Actuarial Services Manager – Corporate

🕒 July 31

🌵 Arizona, Idaho, +6 more states – Remote

🌵 Arizona – Remote 🥔 Idaho – Remote 🦬 Montana – Remote 🎰 Nevada – Remote 🌲 Oregon – Remote ⛷️ Utah – Remote ☕ Washington – Remote 🧀 Wisconsin – Remote

💵 $170.5k - $208.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Actuary

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 23%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CareOregon

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1994

🏥 Healthcare

📦 Logistics

🛡️ Insurance

Healthcare • Logistics • Insurance

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 actuarial components of financial reporting and analysis cycles • Develop actuarial estimates of IBNR liabilities and other assets and liabilities • Analyze trends, identify deviations from benchmarks, and assess financial impacts • Forecast health care cost and utilization patterns • Estimate and calculate ROI for proposed and implemented initiatives • Complete required regulatory reporting for CMS and OHA • Manage development and communication of actuarial analysis with the Director, Actuarial Services • Develop and maintain IBNR, PDR, cost, and utilization models • Lead trend forecasting for budgeting and evaluate actual results against budget • Analyze financial performance and communicate results to business leaders • Create intervention models for goal setting, budgeting, and forecasting • Oversee evaluation tools measuring program effectiveness and ROI • Drive strategic use of data for business efficiency and competitive decision-making • Build relationships with internal teams and external organizations • Partner with leaders and managers on improvement plans and processes • Manage teams, staffing, work planning, goals, training, coaching, performance management, and employee development • Incorporate equity tools into people leadership, planning, operations, evaluation, and decision-making • Ensure adherence to organizational standards, policies, and procedures

🎯 Requirements

• Minimum 5 years’ experience in actuarial services related to health care • Work experience in health insurance • Associate of the Society of Actuaries • 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, utilization, trend, and benchmarking analysis • Understanding of modeling direct and indirect financial impacts in a complex system • Strong understanding of data systems and relational databases • Proficient with SAS, SQL, and/or R • Advanced Excel skills • Excellent critical thinking and problem-solving skills • Effective leadership skills and advanced understanding of managerial concepts and techniques • Ability to develop and assess actuarial analyses and models pertaining to managed care • Strong verbal, written, and presentation skills • Ability to develop and lead high-performing team members, including hiring, goal setting, coaching, performance management, and career development • Ability to develop and maintain Tableau dashboards • Ability to work with eligibility data, claims data, risk scores, and other financial data • Ability to work in an environment with matrix reporting, diverse individuals, and groups • Ability to identify, implement, and manage process improvements • Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day • Preferred: Minimum 2 years’ experience in a supervisory position, or minimum 1 year with completion of CareOregon’s Aspiring Leaders Program • Preferred: Fellow of the Society of Actuaries • Preferred: Experience with Medicaid and Medicare • Preferred: Experience estimating IBNR, risk adjustment transfers, and other health care liabilities and assets • Preferred: Experience analyzing health care cost and utilization data

🏖️ Benefits

• Bonus opportunity; 5% annual SIP target • Medical, dental, and vision insurance • 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, including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings • Retirement plan with employer contributions • Paid time off (PTO) • Paid State Sick Time • Paid holidays • Volunteer time • Jury duty leave • Bereavement leave • Occasional travel may be required or optional