Cambia Health Solutions

  • Manager, Actuary I or II- Cost of Care Analytics

    Job Locations US-OR-Portland | US-WA-Seattle
    Requisition ID
    2018-25266
    Category (Portal Searching)
    Actuarial/Underwriting
  • Overview

    Manager, Actuary I or II (Cost of Care Analytics) 

    Portland or Seattle

     

     

    Cambia's Cost of Care Analytics team is part of the Healthcare Informatics department. The Cost of Care Analytics team is focused on Cambia's aim to facilitate a more affordable healthcare system. Working with the clinical experts, the Cost of Care Analytics team works to find opportunities to improve ways that healthcare is delivered to lower claims costs. In consultation with clinical partners, the team evaluates internal and external solutions, develops methodologies to measure impacts & effectiveness, and measures the financial outcomes.

     

    Managerial candidates for the Cost of Care Analytics team should have the ability to guide and work closely with a diverse set of team members, which include employees with actuarial credentials and advanced academic degrees (statistics, biomedical informatics, quantitative psychology and other related analytic fields).

     

     

     

    Responsibilities & Requirements

     

    • Member of the American Academy of Actuaries in good standing.
    • Associate or Fellow of the Society of Actuaries in good standing or experience, skills, and credentials deemed equivalent by management.
    • Proven ability to perform and manage complex tasks.
    • Proven ability to plan, organize and oversee assigned work programs, including evaluating the work of subordinates.
    • Advanced analytical and problem-solving skills.
    • Demonstrated success with project management.
    • Highly developed business sense (finance, accounting, economics, risk management).
    • Strong oral and written communication skills, effective with both individuals and groups, regarding complex or sensitive issues or regulations.
    • Exhibits solid actuarial/underwriting judgment.
    • Strong computer skills (word processing, spreadsheets, statistical analysis, database).
    • Ability to negotiate effectively.
    • Ability to manage complex projects and solve issues with large financial and/or risk impact to the corporation.
    • The Manager II requires proven success in managing employees.

     

    Normally to be proficient in the competencies listed above:

     

    • Manager, Actuarial I would have a Bachelor’s Degree in mathematics, actuarial science, statistics, economics, computer science or an equivalent related field with 5 years of experience with increasing levels of actuarial responsibility.
    • Manager, Actuarial II would have a Bachelor’s Degree in mathematics, actuarial science, statistics, economics, computer science or an equivalent related field with 7 years of experience with increasing levels of actuarial responsibility. A minimum of 1-2 years of talent management experience (acquired through having direct reports and responsibility for employment related decisions).

     

     

    General Functions and Outcomes:

    • Responsible for corporate profitability by prudent management of risk.
    • Responsible for producing and directing the production of timely and accurate research, analysis, and recommendations with respect to team’s key responsibilities, which may include rate calculations and filings, underwriting support, benefit pricing, internal and external financial reporting, reserving, forecasting, provider reimbursement strategy and implementation, trend analysis, and experience analysis.
    • Provides training and motivation to fully use staff capabilities and to meet changing corporate demands.
    • Provides managerial leadership and is responsible for the selection, supervision, evaluation and termination of staff. Conducts performance evaluations, and initiates and implements disciplinary actions as warranted. Makes annual salary recommendations.
    • Manages the operations of the department to achieve goals within budgeted funds and available personnel, plans and organizes workloads and staff assignments, approves paid time off (PTO), reviews progress, directs changes in priorities and schedules as needed to assure that work is completed in an efficient and timely manner. Facilitates team meetings.
    • Manages the activities of the department ensuring compliance with internal policies and external regulations.
    • Develops methodologies and approaches to new tasks and projects.
    • Proactively identifies actuarial issues and concerns to management. Provides actuarial support to any or all divisions of the organization.
    • Applies an understanding of provider payment structures, underwriting issues, marketing theory, financial accounting issues, and other mechanisms that highly impact the cost and revenue structures within the corporation.
    • Serves as professional actuarial expert internally and externally, and actively works to continually enhance the credibility of Cambia’s actuarial division in support of Cambia strategic goals.

     

    Additional General Functions & Outcomes for Manager, Actuarial II:

    • Shares management principles and best practices with Manager I’s
    • Uses management experience to optimize team performance both in daily function as well as long-term planning

     

    Work Environment:

    • No unusual working conditions.
    • Work primarily performed in office environment.

     

     

     

    About Us

     

    At Cambia, we advocate for transforming the health care system. You aren’t satisfied with the status quo and neither are we. We're looking for individuals who are as passionate as we are about transforming the way people experience health care. We offer a competitive salary and a generous benefits package. We are an equal opportunity employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A drug screen and background check is required.

     

    Cambia’s portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access; and free-standing health and wellness solutions.

    We have over a century of experience in developing and providing health solutions to serve our members. We had our beginnings in the logging communities of the Pacific Northwest as innovators in helping workers afford health care. That pioneering spirit has kept us at the forefront as we build new avenues to improve access to and quality of health care for the future.

     

     

     

     

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