PacificSource Health Plans - Portland, OR
posted about 2 months ago
Full-time - Mid Level
Portland, OR
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. The position involves collaboration with various departments to develop and maintain health economics models and to assist in the development of clinical programs and provider contracts.
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.
- Analyze experience and forecast financial and statistical data to set cost and utilization trend targets.
- Produce reports for management and relevant departments within PacificSource.
- Make documented recommendations to reduce costs based on analysis.
- Identify information needed to assess risk, cost, and utilization accurately.
- Participate actively in department meetings and strategic committees.
Requirements
- At least three 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 Associate or 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 problems, design solutions, and monitor results.
Nice-to-haves
- Experience with actuarial methods and modeling techniques.
- Creative and innovative problem-solving skills.
Benefits
- Health insurance
- Dental insurance
- 401k plan
- Paid holidays
- Flexible scheduling
- Professional development opportunities
