Providence Health Plan ยท 1 day ago
Manager Actuarial Analytics Commercial *Remote*
California, United States
Full-time
Remote
Mid, Senior Level
$59.73/hr - $96.15/hr
7+ years exp
Maximize your interview chancesHealth CareHealth Insurance
Insider Connection @Providence Health Plan
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Be responsible for producing pricing, forecasting and reserving deliverables
Coach and set priorities for direct reports
Collaborate across multiple departments to achieve organizational objectives
Function as a technical resource and as a mentor to Actuarial Analysts in the Actuarial department
Maintain an understanding of the changing health care and actuarial trends and how they impact the work of pricing and valuation
Remain current on government regulation and guidance as well as analytic techniques and methodologies, data sources
Manage Commercial pricing, forecast and reserving
Build and maintain relationships with other leaders across the organization including Product, Finance, Underwriting, Regulatory, Pharmacy, and outside the organization (CMS, provider groups)
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study
Associate of the Society of Actuaries (ASA) designation and/or Fellow of the Society of Actuaries (FSA) designation
7+ years of healthcare actuarial analytics experience working with Medicare Advantage pricing and bid development
Experience 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
7+ years of healthcare actuarial analytics experience working with Commercial Pricing or Valuation
Experience certifying the Commercial Rate Filing
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 Plan
Providence Health Plan is a nonprofit organization that offers commercial and individual health insurance coverage.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Cheryl Morrison Bornstein
Chief Operating Officer
Laurel C. Soot
Chief Medical Officer
Recent News
The Business Journals
2024-04-08
The Business Journals
2024-04-08
Company data provided by crunchbase
