What are the responsibilities and job description for the Actuarial Analyst I position at CareOregon?

Career Opportunities : Actuarial Analyst I (24804)

Requisition ID 24804 - Posted

01 / 21 / 2025 - 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.

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

More than 6 hours / day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

0 hours / day

More than 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.

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Salary : $64,130 - $78,391

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