Remote Actuarial Services Lead - Health Care Finance

CareOregon, Inc.; Washington (District of Columbia); Remoto; USD 170.000 - 208.000; Tempo pieno

Descrizione del lavoro

CareOregon, Inc. is seeking an experienced actuary to manage actuarial components of financial reporting and analysis cycles. You will develop IBNR models, forecast healthcare cost trends, and communicate findings to leadership.

This role emphasizes strategic input and ROI evaluation for transformative programs. Leading a team, you will ensure timely regulatory reporting to CMS and OHA, collaborate across finance, and guide budgeted targets with data-driven insights.

Competenze

• Minimum 5 years’ experience in actuarial services related to health care.
• Work experience in health insurance.
• Associate of the Society of Actuaries.

Mansioni

• 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 timeliness of assigned regulatory reporting for CMS and OHA.

Conoscenze

SAS

SQL

R

Excel

Tableau

Cost modeling

Data analysis

Presentation skills

Leadership

Formazione

Associate of the Society of Actuaries

Descrizione del lavoro

CareOregon, Inc. is seeking an experienced actuary to manage actuarial components of financial reporting and analysis cycles. You will develop IBNR models, forecast healthcare cost trends, and communicate findings to leadership.

This role emphasizes strategic input and ROI evaluation for transformative programs. Leading a team, you will ensure timely regulatory reporting to CMS and OHA, collaborate across finance, and guide budgeted targets with data-driven insights.