Remote Actuarial Services Manager

Acturhire; Northern (KY); Hybrid; USD 170,000 - 208,000; Full time

Job summary

CareOregon seeks an experienced actuary to lead the actuarial components of financial reporting and analysis. You will estimate IBNR, PDR, and related reserves, analyze trends, and forecast costs and utilization. You will present results to leadership and drive ROI for initiatives.

With a focus on collaboration and people leadership, you will oversee models, regulatory reporting for CMS/OHA, and the strategic use of data to improve outcomes.

Qualifications

• Minimum 5 years’ experience in actuarial services related to health care.
• Work experience in health insurance.
• Associate of the Society of Actuaries (ASOA) or equivalent certification.

Responsibilities

• Manage actuarial analysis for financial reporting and forecasts.
• Develop models for IBNR, PDR, and other reserves; ensure timely reporting.
• Lead cost and utilization analyses and benchmark performance.
• Forecast utilization and costs with budget targets and business leaders.

Skills

SAS

SQL

R

Excel

Tableau

Education

Associate of the Society of Actuaries

Tools

Tableau

Job description

CareOregon seeks an experienced actuary to lead the actuarial components of financial reporting and analysis. You will estimate IBNR, PDR, and related reserves, analyze trends, and forecast costs and utilization. You will present results to leadership and drive ROI for initiatives.

With a focus on collaboration and people leadership, you will oversee models, regulatory reporting for CMS/OHA, and the strategic use of data to improve outcomes.