Position Title: Actuarial Analyst I
Department: Finance
Title of Manager: Actuarial Services Manager
Supervises: Non-supervisory position
Exemption Status: Exempt
Requsition #: 24804
Pay and Benefits: Pay and Benefits: Estimated hiring range $64,130 - $78,390, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits.
Posting Notes: This is a fully remote position, but you must reside in one of the listed 9 states.
General Statement of Duties
This position is responsible for participating in a variety of financial and actuarial analyses in support of strategic decision making and the company's financial sustainability efforts. Areas of analysis may include cost and utilization trend analysis, return on investment evaluations, Medicare bid development, forecasting support, benchmarking, provider payment evaluation and review of actuarial estimates, such as IBNR.
Essential Position Functions
Financial and Actuarial Analyses
- Drill down into cost and utilization trends to identify key drivers.
- Use statistical analysis packages to measure the effectiveness of programs and payment models.
- Utilize cost savings calculators for use in goal setting, budgeting and forecasting
- Identify any actuarial unsound adjustments to the rates.
- Provide medical cost and utilization trend recommendations for forecasting purposes.
- Evaluate provider payment models, including risk share arrangements, to ensure they achieve the desired outcome.
- Prepare regular risk share reporting for sharing with providers and supporting accounting estimates.
- Calculate actuarial estimates of IBNR.
Financial Analytical Capacity and Capability
- Suggest methodologies for new projects.
- Create documentation for new models and projects.
- Identify actionable recommendations in analyses.
Essential Department and Organizational Functions
- Propose and implement process improvements.
- Meet deadlines for completion of workload.
- Maintain agreed upon work schedule.
- Demonstrate cooperation and teamwork.
- Provide cross-training on specific job responsibilities.
- Meet identified business goals that contribute to departmental goals.
- Perform other duties as needed.
Knowledge, Skills and Abilities Required
Technical:
- Working knowledge of data management techniques
- Exposure to SAS, SQL, R or similar database querying tools
- Proficiency in MS Excel
- Working knowledge of other MS tools, including MS Office products
- Understanding of data systems and sources and how it impacts the data available
Communication:
- Effective communication skills, including listening, verbal, and written
Other:
- Quality and Accuracy - Attention to detail and accuracy; ability to produce high quality output, ability to effectively review others' work
- Problem Solving and Critical Thinking - Ability to identify problem, inconsistencies, unexpected results, relevant information and uncertainties; ability to interpret and analyze information and implement conclusions/solutions
- Organization and Time Management - Ability to complete tasks on time
- Teamwork - Ability to effectively collaborate with coworkers
- Feedback - Ability to learn from feedback and embrace change; willingness to acquire new skills
- Professionalism - Possess a high degree of initiative, motivation, and professionalism
- Positive Attitude - Ability to maintain a positive attitude
Physical Skills and Abilities
Lifting/Carrying up to 0 Pounds
Pushing/Pulling up to 0 Pounds
Pinching/Retrieving Small Objects
Crouching/Crawling
Reaching
Climbing Stairs
Repetitive Finger/Wrist/Elbow/
Shoulder/Neck Movement
0 hours/day
0 hours/day
0 hours/day
0 hours/day
0 hours/day
0 hours/day
More than 6 hours/day
Standing
Walking
Sitting
Bending
Seeing
Reading
Hearing
Speaking Clearly
0 hours/day
0 hours/day
0 hours/day
0 hours/day
More than 6 hours/day
More than 6 hours/day
3-6 hours/day
3-6 hours/day
Cognitive and Other Skills and Abilities
Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial direction and feedback, and tolerate and manage stress.
Education and/or Experience
Required:
- Minimum 1 Society Actuaries (SOA) exam passed
Preferred:
- Bachelor's Degree in Finance, Mathematics, Economics, or related field
- 2+ SOA exams passed and Validation by Educational Experience (VEE) topics completed
- Work experience in health insurance, preferably Medicaid or Medicare
Working Conditions
- Environment: This position's primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):
☒ Inside/office • Clinics/health facilities • Member homes
• Other
- Travel: This position may include occasional required or optional travel outside of the workplace, in which the employee's personal vehicle, local transit, or other means of transportation may be used.
- Equipment: General office equipment and/or mobile technology
- Hazards: n/a
#MULTI
Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.
Veterans are strongly encouraged to apply.
We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.
Visa sponsorship is not available at this time.