Actuarial Services Manager - Corporate

CareOregon•Portland, OR

1d•$170,460 - $208,340•Remote

About The Position

This position is responsible for managing the actuarial components of financial reporting and analysis cycles within the organization. This includes providing actuarial estimates of Incurred But Not Reported (IBNR) liabilities and other assets and liabilities, analyzing trends, identifying deviations from benchmarks and the resulting financial impacts, forecasting changes in health care cost and utilization patterns, estimating and calculating the return on investment of proposed and implemented initiatives, completing required regulatory reporting, and communicating results and findings from actuarial analyses within CareOregon. Primary duties include technical and operational management, as well as relationship and people management. This position provides input into strategic plans for the broader organization.

Requirements

Minimum 5 years’ experience in actuarial services related to health care
Work experience in health insurance
Associate of the Society of Actuaries
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 in areas such as work planning, training, delegating, coaching, mentoring, and evaluating staff
Ability to develop and assess actuarial analyses and models pertaining to managed care
Ability to communicate effectively, both verbally and in writing, including strong 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 work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day

Nice To Haves

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 Medicaid and Medicare
Experience estimating IBNR, risk adjustment transfers, and other health care liabilities and assets
Experience analyzing health care cost and utilization data

Responsibilities

Work with the Director, Actuarial Services to manage the development and communication of actuarial analysis related to financial reporting in alignment with organizational vision and goals.
Develop and maintain models to determine actuarial estimates of IBNR, Premium Deficiency Reserve (PDR) liabilities, and other assets and liabilities; manage regular processes to ensure financial reporting deadlines are met.
Develop and maintain actuarial cost models to perform cost and utilization analysis; identify and explain key drivers of historical trends; gather and develop benchmarks for purposes of assessing performance and the potential for improvement.
Lead trend forecasting for use in budgeting; work with Financial Planning & Analysis team to set budgeted utilization and cost targets and evaluate actual results against budget.
Analyze financial performance and work with LOB Finance team to communicate results and drivers of historical and forecasted performance to business leaders; identify opportunities to influence current and future outcomes.
Create models of proposed interventions for use in goal setting, budgeting, and forecasting.
Oversee the design, development, and implementation of evaluation tools to measure the effectiveness and ROI of various programs.
Drive strategic use of data to support business efficiencies and competitive decision-making.
Ensure the timely completion of assigned regulatory reporting for CMS and OHA.
Communicate effectively, encouraging and creating a collaborative culture within Strategic Finance and cross-functionally.
Build and ensure effective relationships across internal teams and external organizations for current or future integration.
Partner with internal leaders and managers in identifying improvement plans and processes.
Manage team(s) and recommends team direction and goals in alignment with the organizational mission, vision, and values.
Identify work and staffing needs to meet work expectations; recruit and hire, using an equity, diversity, and inclusion lens.
Plan, organize, schedule, and monitor work; ensure employees have information and resources to meet job expectations.
Participate in 1:1, team, and department meetings; attend all staff meetings.
Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff.
Train, supervise, motivate, and coach employees; provide support toward employee development.
Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, and decision making.
Ensure team adheres to department and organizational standards, policies, and procedures.
Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action).
Perform supervisory tasks in collaboration with Human Resources as needed.

Benefits

competitive pay
bonus opportunity
medical insurance
dental insurance
vision insurance
life insurance
AD&D insurance
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.)
retirement plan with employer contributions
PTO
Paid State Sick Time
paid holidays
volunteer time
jury duty
bereavement leave