PacificSourceposted 5 days ago
Springfield, OR
Ambulatory Health Care Services

About the position

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age. Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Responsibilities

  • Provide support to Product Development and Sales by offering technical expertise regarding rating and benefit evaluation.
  • Produce reports for use by Management and appropriate departments within PacificSource, such as Product Development, Provider Network, Health Services, Finance, etc.
  • Analyze claims, enrollment, administrative expense, required reserves, trends, and other factors needed to determine appropriate revenue requirements for corporate financial forecasting and other activities.
  • Make documented recommendations based on the analysis of information regarding methods to reduce costs.
  • Review requirements for and identify information needed to accurately assess various elements of risk, cost, and utilization, and its financial impact upon PacificSource.
  • Establish formulas and guidelines for timely and accurate rating of existing and prospective insurance contracts.
  • Contribute major deliverables in support of rate filing and bid process and other compliance activities required by various State and Federal law.
  • Actively participate as a key team member in department meetings.
  • Meet department and company performance and attendance expectations.
  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Perform other duties as assigned.

Requirements

  • At least two years actuarial experience required.
  • Health actuarial experience preferred.
  • Baccalaureate degree in mathematics, statistics, actuarial science, or a related field.
  • Having passed a minimum of four actuarial exams, or having demonstrated equivalent actuarial proficiency, is required.
  • Advanced student/near-ASA is preferred but not required.
  • Requires excellent oral and written communication skills.
  • Excellent organization skills.
  • Ability to read, analyze, and interpret documents and information.
  • Ability to respond to common inquiries and effectively present information to a variety of groups.
  • Advanced VBA, SAS, or SQL skills required.
  • Advanced Microsoft Excel skills required.
  • Ability to accomplish tasks accurately under pressure, determine priorities, and to meet deadlines.
  • Ability to identify and define problems, design and then implement solutions, and further monitor results.

Benefits

  • Diversity and Inclusion initiatives.
  • Commitment to social justice, equity, diversity and inclusion.
Hard Skills
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