Join to apply for the Actuary, Senior role at CareOregon This senior level position is responsible for performing a wide variety of financial and actuarial analyses impacting strategic decision making and the company’s financial sustainability efforts. Areas of analysis include cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk adjustment optimization, provider payment evaluation, and review of actuarial estimates such as IBNR and PDR. This position provides financial stewardship by identifying opportunities for improved financial performance. Responsibilities Perform financial and actuarial analyses including cost and utilization trends, profitability analytics, and evaluation tools development. Support rate setting and identify actuarial adjustments to rates. Provide cost and utilization trend recommendations and develop benchmarks for performance assessment. Monitor risk adjustment and evaluate provider payment models. Prepare risk share reports and drive data-driven strategic decisions. Review actuarial estimates and coordinate with outside actuaries. Qualifications Associate of the Society of Actuaries required; Fellow preferred. Minimum 5 years’ experience in health insurance actuarial roles; Medicaid or Medicare experience preferred. Skills & Abilities Proficiency in SAS, SQL, MS Excel, and MS Access. Strong data management, communication, and leadership skills. Ability to analyze complex data, lead projects, and collaborate across departments. Additional Information Work environment is primarily remote, with residence required in one of the specified states. Salary range $135,420 - $165,520/year plus benefits and bonus. Candidates of color and veterans are encouraged to apply. #J-18808-Ljbffr CareOregon
The Theology Department at Salesianum School seeks a dynamic teacher for a full-time opening beginning August 2026; candidates available to start during the 2026 Spring Semester are asked to indicate this in their cover letter. Ideal candidates will be prepared to instruct...
...We are seeking a senior skilled DFT Design Engineer to develop and implement comprehensive Design for Test solutions across our semiconductor products. This role involves RTL design, verification, and manufacturing support for various DFx methodologies including SCAN, MBIST...
...dedicated and passionate volunteer to join our team as a Virtual Remote Marketing Assistant. This role will involve supporting our marketing efforts... ...: Strong writing and communication skills Experience with social media platforms Basic knowledge of graphic...
...Paid time off Profit sharing Vision insurance About the Role: Dallas Reading and Language Services is seeking a Bilingual Speech Language Pathologist Assistant to join our team. We are a leading provider of speech and language therapy services in the Dallas...
...CAREER OPPORTUNITY: EXCAVATOR OPERATOR - EXPERIENCED FOX CITIES | WISCONSIN RESPONSIBILITIES Excavator Operators are responsible for the safe operation of equipment on our job sites. This can include working around jobsite traffic or hazards such...