CorporateThis position is responsible for managing the actuarial components of financial reporting and analysis cycles within the organization. This includes providing actuarial estimates of Incurred But Not Reported (IBNR) liabilities and other assets and liabilities, analyzing trends, identifying deviations from benchmarks and the resulting financial impacts, forecasting changes in health care cost and utilization patterns, estimating and calculating the return on investment of proposed and implemented initiatives, completing required regulatory reporting, and communicating results and findings from actuarial analyses within CareOregon. Primary duties include technical and operational management, as well as relationship and people management. This position provides input into strategic plans for the broader organization.Estimated Hiring Range: $170,460.00 - $208,340.00Bonus Target: Bonus
SIP Target, 5% AnnualCurrent CareOregon Employees: Please use the internal Workday site to submit an application for this job. Essential Responsibilities Technical/Operational Management
Work with the Director, Actuarial Services to manage the development and communication of actuarial analysis related to financial reporting in alignment with organizational vision and goals.
Develop and maintain models to determine actuarial estimates of IBNR, Premium Deficiency Reserve (PDR) liabilities, and other assets and liabilities; manage regular processes to ensure financial reporting deadlines are met.
Develop and maintain actuarial cost models to perform cost and utilization analysis; identify and explain key drivers of historical trends; gather and develop benchmarks for purposes of assessing performance and the potential for improvement.
Posting details
Remote
Yes
Employment type
Full-time
Workplace type
Remote
Source
remotejobsorg
First seen
9/14/2026, 8:10:26 AM
Last seen
9/14/2026, 8:10:26 AM
Lead trend forecasting for use in budgeting; work with Financial Planning & Analysis team to set budgeted utilization and cost targets and evaluate actual results against budget.
Analyze financial performance and work with LOB Finance team to communicate results and drivers of historical and forecasted performance to business leaders; identify opportunities to influence current and future outcomes.
Create models of proposed interventions for use in goal setting, budgeting, and forecasting.
Oversee the design, development, and implementation of evaluation tools to measure the effectiveness and ROI of various programs.
Drive strategic use of data to support business efficiencies and competitive decision-making.
Ensure the timely completion of assigned regulatory reporting for CMS and OHA. Relationship Management
Communicate effectively, encouraging and creating a collaborative culture within Strategic Finance and cross-functionally.
Build and ensure effective relationships across internal teams and external organizations for current or future integration.
Partner with internal leaders and managers in identifying improvement plans and processes. Employee Supervision
Manage team(s) and recommends team direction and goals in alignment with the organizational mission, vision, and values.
Identify work and staffing needs to meet work expectations; recruit and hire, using an equity, diversity, and inclusion lens.
Plan, organize, schedule, and monitor work; ensure employees have information and resources to meet job expectations.
Participate in 1:1, team, and department meetings; attend all staff meetings.
Lead the development, communication, and oversight of team and individual goals; ensure goals, expectations, and standards are clearly understood by staff.
Train, supervise, motivate, and coach employees; provide support toward employee development.
Incorporate guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, and decision making.
Ensure team adheres to department and organizational standards, policies, and procedures.
Evaluate employee performance and provide regular feedback to support success; recognize strong performance and address performance gaps and accountability (corrective action).
Perform supervisory tasks in collaboration with Human Resources as needed. Experience and/or Education Required
Minimum 5 years’ experience in actuarial services related to health care
Work experience in health insurance
Associate of the Society of Actuaries Preferred
Minimum 2 years’ experience in a supervisory position or minimum 1 year experience in a supervisory position with completion of CareOregon’s Aspiring Leaders Program
Fellow of the Society of Actuaries
Experience with Medicaid and Medicare
Experience estimating IBNR, risk adjustment transfers, and other health care liabilities and assets
Experience analyzing health care cost and utilization data Knowledge, Skills and Abilities Required Knowledge
Extensive knowledge of managed care and the Oregon Health Plan
Knowledge of various methods of estimating IBNR and other reserves
Ability to construct and use actuarial cost models for performing cost and utilization, trend, and benchmarking analysis
Understanding of how to model direct and indirect financial impacts in a complex system
Strong understanding of data systems and relational databases Skills and Abilities
Proficient with SAS, SQL, and/or R
Advanced Excel skills
Excellent critical thinking and problem-solving skills
Effective leadership skills and advanced understanding of managerial concepts and techniques in areas such as work planning, training, delegating, coaching, mentoring, and evaluating staff
Ability to develop and assess actuarial analyses and models pertaining to managed care
Ability to communicate effectively, both verbally and in writing, including strong presentation skills
Ability to develop and lead high performing team members, including hiring, goal setting, coaching, performance management, and career development
Ability to develop and maintain Tableau dashboards
Ability to work with eligibility data, claims data, risk scores, and other financial data
Ability to work in an environment with matrix reporting, diverse individuals, and groups
Ability to identify, implement, and manage process improvements
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used. Work Location: Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.