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CareOregonposted about 1 month ago
$64,130 - $78,390/Yr
Full-time - Entry Level
Remote - Portland, OR
About the position
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.
Responsibilities
- 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.
- Suggest methodologies for new projects.
- Create documentation for new models and projects.
- Identify actionable recommendations in analyses.
- 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.
Requirements
- Minimum 1 Society Actuaries (SOA) exam passed.
- 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.
Nice-to-haves
- 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.
Benefits
- Estimated hiring range $64,130 - $78,390.
- 5% bonus target.
- Full benefits.
