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Manager Actuarial Analytics Commercial *Remote*

P

Location
United States
Providence

Job Description

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, Commercial who will:

  • 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)

Providence Health Plan welcome 100% remote work for applicants who reside in one of the following States:

  • Washington
  • Oregon
  • California

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

Required qualifications for this position include:

  • 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 qualifications for this position include:

  • 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

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.

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 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 and much more. Learn more at providence.jobs/benefits.

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