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
Providence is welcoming 100% remote work from anywhere within the United States with the exception of the below listed states :
- Colorado
- Hawaii
- Massachusetts
- New York
- Ohio
- Pennsylvania
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?
Our 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 of caring for everyone, especially the most vulnerable in our communities.
Manager Actuarial Analytics, Medicare / Medicaid *Remote*
Providence Health Plan is calling a Manager Actuarial Analytics who will:. Evaluate the financial performance for Medicaid/Medicare lines of business . Experience with Commercial, Medicare, and Medicaid revenue methodologies. Lead the review of Medicaid capitation rate assumptions and methodology. ...
Senior Actuarial Analytics, Medicare Bid *Remote*
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 understandin...
Remote Data Scientist/Software Engineer - AI Model Training
If you are an experienced software engineer, computer scientist, programmer, or just great at solving coding challenges (Codeforces, Sphere Online Judge, Leetcode, etc. Enthusiasm for teaching AI models and experience with technical writing!</li></ul><p><strong>Why work on Ou...
Financial Analyst, WNS Opex
The Financial Analyst, WNS Opex position is part of the Alaska Western North Slope (WNS) team and plays a critical role in delivering key financial information to the asset and key support stakeholders. This role provides budget forecasting, and Long-Range Plan financial support as well as making mo...
Administrative Assistant
Authorization to work lawfully in the US without sponsorship from Wood is required.Maintains confidentiality for sensitive organizational and manager information.Maintain an up-to-date Houston Management Team roster.Maintain a proper level of office and breakroom supplies.Maintain proper functioning...
Project/Business Analyst
Job EssentialsProvides business and technical research, findings, and insight for small sized projects, initiatives, and applications. Two years of relevant experience in health care, business / project analysis, or project management. ...
Operations Manager
Participate in the daily operations briefing. Proven experience in a production manager role, preferably in the food industry or airline catering. ...
Business Intelligence Analyst (Hybrid Options Avail.)
If you are interested in the Business Intelligence Analyst position and you have the expertise, skills and energy to match our mission to provide independence through housing, we encourage you to apply. Collaborate with business and functional areas to identify and document business requirements, tr...
Business Operations Manager
This position is a Division Manager responsible for directing the Borough's application and support services, including service desk, applications, and web, and providing oversight, direction, and mentoring to Division Staff and IT contractors. Performs the duties of the Director of Information Tech...
Consumer Solutions Systems Analyst
At Regions, the Business Systems Analyst conducts business process analysis, needs assessments, and preliminary cost/benefits analysis in an effort to align information technology solutions with business initiatives. Banking or financial services industry experience. ...