Actuary, Health Economics

PacificSource Health Plans - Springfield, OR

Full-time - Mid Level

Springfield, OR

Insurance Carriers and Related Activities

About the position

The Actuary, Health Economics position at PacificSource Health Plans involves providing actuarial services focused on health economics to improve organizational monitoring and management of utilization, unit cost, and service intensity trends. The role is crucial for ensuring accurate actuarial activities and sound analysis of risk, contributing to the company's financial and enrollment goals. The actuary will collaborate with various departments to develop and maintain health economics models, assist in clinical program development, and produce reports for management.

Responsibilities

• Assist in direction of health economics strategy.
• Work with VP/Chief Actuary and other leadership areas to ensure consistency with partnering departments and alignment with company strategy.
• Develop, implement, and maintain health economics models, ensuring compliance with regulatory requirements.
• Assist in development and monitoring of clinical programs and provider contracts.
• Develop organization's cost and utilization trend targets through analysis and forecasting.
• Produce reports for management and appropriate departments within PacificSource.
• Make documented recommendations to reduce costs based on analysis.
• Identify information needed to assess risk, cost, and utilization accurately.
• Participate as a key team member in department meetings and strategic committees.

Requirements

• At least five years of actuarial experience required.
• Health experience, especially in health economics or related areas, preferred.
• Baccalaureate degree in mathematics, statistics, actuarial science, or a related field, or equivalent work experience required.
• Required to be enrolled as Fellow in Society of Actuaries and active member in good standing of American Academy of Actuaries.
• Ability to accomplish tasks accurately under pressure and meet deadlines.
• Ability to identify and define problems, design and implement solutions.

Nice-to-haves

• Experience in forecasting financial and statistical data.
• Knowledge of actuarial methods and modeling techniques.

Benefits

• Diversity and Inclusion initiatives
• Commitment to social justice and equity
• Opportunities for community involvement