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Company

Original Job Post

Providence Health & Services · 3 days ago

Manager Actuarial Analytics, Medicare / Medicaid

Oregon, United States

Full-time

Remote

Senior Level

$59.73/hr - $96.15/hr

5+ years exp

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Responsibilities

Lead the review of Medicaid capitation rate assumptions and methodology

Provide oversight to financial/encounter data submission in support of Medicaid capitation rate setting

Provide expertise and consultation to support the Medicare bid process and pricing strategy

Evaluate the financial performance for Medicaid/Medicare lines of business

Maintain an understanding of changing health care trends and actuarial regulations impacting the organization

Stay current on government regulations, guidance, analytic techniques, methodologies, and data sources

Build and maintain relationships with leaders across the organization and external partners

Coach and set priorities for direct reports

Qualification

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Healthcare ActuarialMedicare Advantage PricingSQLProject ManagementFinancial AnalysisProblem-SolvingCommunicationTime ManagementSociety of ActuariesMedicare Advantage Bid CertificationRevenue MethodologiesStaff ManagementLeadership

Required

Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study

5+ years of healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development

Experience with writing queries in SQL or another programming language

Demonstrated experience applying project management skills in data-related and financial analysis projects

Preferred

Master's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study

Fellow or Associate in the Society of Actuaries (FSA or ASA)

Experience certifying the Medicare Advantage Bid

Experience with Commercial, Medicare, and Medicaid revenue methodologies

Demonstrated experience with managing professional staff who work independently on tasks and projects

Benefits

401(k) Savings Plan with employer matching

Health care benefits (medical, dental, vision)

Life insurance

Disability insurance

Time off benefits (paid parental leave, vacations, holidays, health issues)

Voluntary benefits

Well-being resources

Company

Providence Health & Services

Glassdoor

3.6

At Providence, our strength begins with understanding.

Founded in 1859

Renton, Washington, USA

10,001+ employees

https://www.providence.org/

H1B Sponsorship

Providence Health & Services has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Trends of Total Sponsorships

2023 (23)

2022 (33)

2021 (32)

2020 (24)