Career Opportunities: Actuary (24277) Requisition ID 24277 - Posted 05/15/2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (17) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuary Exemption Status Exempt Department Finance Manager Title Actuarial Services Manager Direct Reports n/a Requisition # 24277 Pay and Benefits Estimated hiring range $120,000 - $145,200 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a remote role, but you must reside in one of the listed 9 states. Job Summary This position is responsible for performing a wide variety of financial and actuarial analyses impacting strategic decision making and the company's financial sustainability efforts. Areas of analysis include cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk adjustment optimization, provider payment evaluation and review of actuarial estimates such as IBNR and PDR. Essential Responsibilities Financial and Actuarial Analyses Drill down into cost and utilization trends to identify key drivers. Develop profitability analytics to support evaluation by provider group, contract, and other valued indicators. Design, develop, and implement evaluation tools in measuring the effectiveness of programs and payment models. Develop cost savings calculators for use in goal setting, budgeting, and forecasting. Provide rate setting support through data analysis, policy review and strategy development. Identify any actuarial unsound adjustments to the rates. Provide medical cost and utilization trend recommendations for forecasting purposes. Gather and develop benchmarks for purposes of assessing our performance and the potential for improvement. Monitor risk adjustment applied to capitation revenue and ensure population risk is appropriately represented in encounter data. 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. Drive strategic use of data to support business efficiencies and competitive decision-making. Review and provide guidance on actuarial estimates of IBNR, PDR and other actuarially determined assets and liabilities. Financial Analytical Capacity and Capability Develop and execute methodologies for new projects. Create documentation for new models and projects. Summarize analyses into actionable recommendations. Work with Information Systems to ensure access to a data source with high data integrity. Provide training and support to other Finance users around the data, software, and analytic approaches. Administration Participate in 1:1, team, and department meetings; Attend All Staff meetings. Recommend and assist implementation of plans, policies, and procedures; participate in Actuarial Services team goal setting. Mentor assigned actuarial staff; assist in training and provide performance feedback to manager. Organizational Responsibilities Perform work in alignment with the organization's mission, vision and values. Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. Strive to