Senior Actuarial Analytics

2 weeks ago

Portland, United States Providence Health & Services Full time
Job Description

Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:
  • Be responsible for developing and maintaining actuarial models, analyzing data, and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans
  • Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong analytical background
  • Be instrumental in developing and executing pricing strategies, ensuring compliance with regulatory guidelines, and providing critical insights to enhance the performance of our Medicare Advantage plans

Please note the following important detail regarding this role:
  • This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Portland, Oregon

Providence welcomes 100% remote work to residents who reside in the following states:
  • Washington
  • Oregon
  • California

Responsibilities may include:
  • Developing and implementing bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performance
  • Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements
  • Collaborating with product, market, executive, and other cross-functional teams to incorporate market trends, competitive analysis, and organizational goals into pricing decisions.
  • Developing key inputs and/or assumptions in support of the annual Medicare Advantage bid
  • Conducting sensitivity analyses and scenario testing to assess the impact of various factors on bid pricing outcomes
  • Analyzing and interpreting healthcare claims data, enrollment data, and other relevant information to identify trends and patterns
  • Working closely with data analysts and actuaries to ensure the accuracy and completeness of data used in the pricing process
  • Staying informed of changes in risk adjustment methodologies and assess their implications for pricing and financial performance
  • Generating regular reports for senior management, highlighting key performance indicators and providing insights into financial results
  • Analyzing large datasets to identify trends, patterns, and areas for improvement in pricing methodologies

Required qualifications for this position include:
  • Bachelor's Degree in Statistics, Mathematics, Actuarial, Finance, or another related field of study
  • Successful completion of 4+ exams of the Associate of the Society of Actuaries (ASA) designation
  • 5+ years of healthcare actuarial experience
  • 2+ years of actuarial experience
  • Experience with writing queries in SQL or another programming language
  • Demonstrated experience applying project management skills in data-related and financial analysis projects

Preferred qualifications for this position include:
  • Associate of the Society of Actuaries (ASA) designation
  • Fellow or Associate in the Society of Actuaries (FSA or ASA)
  • 2+ years of Medicare Bid experience

Why Join Providence Health Plan?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Us

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

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