Senior Actuarial Analyst, Medicare Bid *Remote* @ Providence Health & Services | Jobright.ai
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Senior Actuarial Analyst, Medicare Bid *Remote* jobs in Portland, OR
Be an early applicantLess than 25 applicants
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Providence Health & Services ยท 4 hours ago

Senior Actuarial Analyst, Medicare Bid *Remote*

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Responsibilities

Developing and implementing bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performance
Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements
Collaborating with product, market, executive, and other cross-functional teams to incorporate market trends, competitive analysis, and organizational goals into pricing decisions.
Developing key inputs and/or assumptions in support of the annual Medicare Advantage bid
Conducting sensitivity analyses and scenario testing to assess the impact of various factors on bid pricing outcomes
Analyzing and interpreting healthcare claims data, enrollment data, and other relevant information to identify trends and patterns
Working closely with data analysts and actuaries to ensure the accuracy and completeness of data used in the pricing process
Staying informed of changes in risk adjustment methodologies and assess their implications for pricing and financial performance
Generating regular reports for senior management, highlighting key performance indicators and providing insights into financial results
Analyzing large datasets to identify trends, patterns, and areas for improvement in pricing methodologies

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.

Actuarial ModelsMedicare Advantage RegulationsRisk Adjustment MethodologiesHealthcare Actuarial ExperienceSQLProject Management SkillsASA DesignationFSA DesignationMedicare Bid Experience

Required

Bachelor's Degree in Statistics, Mathematics, Actuarial, Finance, or another related field of study
Successful completion of 4+ exams of the Associate of the Society of Actuaries (ASA) designation
5+ years of healthcare actuarial experience
2+ years of actuarial experience
Experience with writing queries in SQL or another programming language
Demonstrated experience applying project management skills in data-related and financial analysis projects

Preferred

Associate of the Society of Actuaries (ASA) designation
Fellow or Associate in the Society of Actuaries (FSA or ASA)
2+ years of Medicare Bid experience

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

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At Providence, our strength begins with understanding.

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
Represents job field similar to this job
Trends of Total Sponsorships
2023 (23)
2022 (33)
2021 (32)
2020 (24)

Funding

Current Stage
Late Stage

Leadership Team

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Jennifer Burrows
Chief Executive Officer
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Rod Hochman
President and CEO
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Company data provided by crunchbase
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