PacificSource Health Plans - Portland, OR
posted about 2 months ago
Full-time - Senior
Portland, OR
Insurance Carriers and Related Activities
About the position
The Actuary in Health Economics at PacificSource Health Plans is responsible for providing actuarial services that enhance the organization's monitoring and management of healthcare utilization, unit costs, and service intensity trends. This role involves conducting sound actuarial analyses to support financial and enrollment goals, while collaborating with various departments to ensure alignment with company strategy and compliance with regulatory requirements.
Responsibilities
- Assist in direction of health economics strategy.
- Work with VP/Chief Actuary and other leadership areas to ensure consistency with partnering departments.
- Develop, implement, and maintain health economics models.
- Assist in development and monitoring of clinical programs and provider contracts.
- Analyze experience and forecast financial and statistical data to set cost and utilization trend targets.
- Produce reports for management and relevant departments.
- Make documented recommendations to reduce costs based on analysis.
- Identify information needed to assess risk, cost, and utilization accurately.
- Participate 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 apply actuarial methods and modeling techniques.
Nice-to-haves
- Experience in health economics or related areas.
- Strong analytical and forecasting skills.
Benefits
- Competitive salary
- Health insurance
- Retirement savings plan
- Paid time off
- Professional development opportunities
