Manager Actuarial Analytics, Medicare / Medicaid *Remote*

Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Health Plan is calling a Manager Actuarial Analytics who will:

• 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 the changing health care trends and actuarial regulations and how they impact the organization

• Remain current on government regulation and guidance as well as analytic techniques and methodologies, data sources

• Build and maintain relationships with other leaders across the organization including Product, Finance, Regulatory, Pharmacy, and outside the organization (CMS, provider groups)

• Coach and set priorities for direct reports

Please note the following important detail regarding this role:

• This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Portland, Oregon

Providence welcomes 100% remote work for residents who reside in the following States:

• Washington

• Oregon

• California

Required qualifications for this position include:

• 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 qualifications for this position include:

• 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

Why Join Providence Health Plan?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.