JOB REQUIREMENTS: 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... For full info follow application link. We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics. The EEO is the Law poster is available here. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/4D1FACDC99A84EAE