PacificSource Health Plans - Boise, ID
posted about 2 months ago
Full-time - Mid Level
Boise, ID
Insurance Carriers and Related Activities
About the position
The Associate Actuary in Health Economics at PacificSource Health Plans is responsible for providing actuarial services focused on health economics. This role aims to enhance the organization's monitoring and management of utilization, unit costs, and service intensity trends, ensuring accurate and reliable actuarial activities that support PacificSource's financial and enrollment goals.
Responsibilities
- Assist in direction of health economics strategy.
- Work with VP/Chief Actuary, Actuarial Director of Health Economics, Health Services, Provider Network, Actuarial Pricing, and other leadership areas to ensure consistency with partnering departments and alignment with company strategy.
- Develop, implement, and maintain health economics models, coordinating with other departments to ensure compliance with regulatory requirements and consistency with PacificSource policies.
- Assist in development and monitoring of clinical programs and provider contracts.
- Assist in development of organization's cost and utilization trend targets through regular and systematic analysis of experience and forecasting of financial and statistical data.
- Produce reports for use by management and appropriate departments within PacificSource, such as Provider Network, Health Services, Finance, etc.
- 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.
- Actively participate as a key team member in department meetings.
- Actively participate in various strategic and internal committees to disseminate information within the organization.
Requirements
- At least three years actuarial experience required.
- Baccalaureate degree in mathematics, statistics, actuarial science, or a related field, or equivalent work experience, required.
- Required to be enrolled as Associate or Fellow in Society of Actuaries, and active member in good standing of American Academy of Actuaries.
- Health experience, especially in health economics or related areas, preferred.
Nice-to-haves
- Experience with health economics modeling techniques.
- Familiarity with regulatory requirements in the healthcare sector.
Benefits
- Health insurance coverage
- 401k retirement savings plan
- Paid holidays
- Professional development opportunities
- Flexible scheduling options
