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 Senior Actuarial Analyst, Medicare Bid who will: Be responsible for developing and maintaining actuarial models, analyzing data, and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans
Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong analytical background
Be instrumental in developing and executing pricing strategies, ensuring compliance with regulatory guidelines, and providing critical insights to enhance the performance of our Medicare Advantage plans
We welcome 100% remote work for residents who reside in one of the following States: Alaska
Washington
Oregon
Montana
Idaho
California
Nevada
New Mexico
Texas
Responsibilities may include: 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
Required qualifications for this position include: 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 qualifications for this position include: 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
Why Join Providence? 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. About Providence 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.
Check out our benefits page for more information about our Benefits and Rewards.
About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 271929
Company: Providence Jobs
Job Category: Actuarial
Job Function: Finance
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 5018 FINAN FINANCIAL ANALYTICS OR REGION
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Office Park Portland Bldg 1-Portland
Pay Range: $39.32 - $62.25
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.
Check out our benefits page for more information about our Benefits and Rewards.
