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Providence Health & Services Director Actuarial and Financial Analytics in Portland, Oregon

Description:

Providence St. Joseph Health is calling a Director Actuarial and Financial Analytics to our location in Portland, OR. This position will be remote with a need to travel to the office as needed. We would prefer candidates that are available in commute distance to the office in Portland, OR. However this role can sit in the footprint of Providence in the states of AK, WA, OR, CA, TX, and MT- and exceptions as warrented. Candidates can be remote in US depending on some restrictions however are expected to work hours consistant of Pacific Time Zone.

We are seeking a Director Actuarial and Financial Analytics who will be responsible for assuring the fulfillment of health plan financial objectives for all PHP lines of business. Responsible for the management and oversight related to pricing formulas, trend analytics, forecasting, revenue and benefit expense budgeting, valuation, provider contracting analytics, and revenue liabilities and receivables. Is a leader and an expert in these areas. Demonstrates expertise in a variety of the fields' concepts, practices, procedures, laws and regulations. Relies on extensive experience and judgment to perform tasks and accomplish goals. Works well with other areas outside of the actuarial and financial analytics department to accomplish projects or assignments, and is seen as a trusted finance representative. Provides counsel on a wide variety of actuarial and financial analytics topics as they relate to the health plan and the health insurance industry. A wide degree of creativity, flexibility, and latitude is expected.

MAJOR CHALLENGES:

Many and conflicting business priorities.

In this position you will have the following responsibilities:

  • Direct commercial group pricing, individual (both ACA and Medicare) rate setting, valuation (e.g. reserves), forecasting, budgeting, projecting provider risk sharing and alternative payment amounts, and estimating risk adjustment and risk transfer payment amounts.

  • Devise new analytic methods to solve unique problems.

  • Mentor managers and analyst and fosters an environment the encourages innovation and continuous improvement.

  • Ensure teams are using strong controls with a high degree of data quality and integrity.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree in a highly quantitative field (e.g. Economics, Math, Statistics, Finance, Engineering)

  • Associate of Society of Actuaries (ASA) credentials

  • 10 or more years experience in healthcare analytics

Preferred qualifications for this position include:

  • Master's Degree in a quantitative field

  • Fellow of Society of Actuaries (FSA)

  • Additional certifications such as Certified Health Data Analyst (CHDA), Health Information Manager (HIM), or similar certifications in analytic methods

  • 5 years Managing analytic teams

About Providence in Oregon.

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,

"Providence will provide the best care and service to every person, every time."

Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.

Schedule: Full-time

Shift: Day

Job Category: Non-Clinical Lead/Supervisor/Manager

Location: Oregon-Portland

Other Location(s): Montana, California, Washington, Oregon, Texas, Alaska

Req ID: 325899

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