Actuarial Services Manager

CareOregon

Actuarial Services Manager responsible for managing actuarial and financial components at CareOregon. Focuses on developing and executing value-based payment models and provider contracts.

Posted 4/30/2026full-timeRemote • Idaho, Oregon, Texas, Utah, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $167,130 - $204,270 per yearWebsite

About the role

Key responsibilities & impact

Manage the actuarial and financial components of value-based payment (VBP) activity and provider network reimbursement models
Provide input in the development of VBP and other reimbursement models
Operationalize reporting and settlement calculations, analyze performance, and communicate results and findings
Collaborate with internal leaders to develop and maintain quality incentive payment strategies and risk models
Advise leadership on improving CareOregon’s strategic and financial positioning
Act as a subject matter expert on value-based payment models
Ensure monthly and quarterly reporting is produced in accordance with contractual terms
Analyze performance and identify opportunities to reduce costs and improve quality
Lead the development, communication, and oversight of team and individual goals

Requirements

What you’ll need

Minimum 5 years’ experience in actuarial services related to health care
Associate of the Society of Actuaries
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 value-based provider contracting models
Work experience in health insurance
Experience with Medicaid and Medicare
Bachelor’s Degree in Actuarial Science, Finance, Mathematics, Economics, or related field required

Benefits

Comp & perks

medical, dental, vision, life, AD&D, and disability insurance
health savings account
flexible spending account(s)
lifestyle spending account
employee assistance program
wellness program
discounts
multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.)
strong retirement plan with employer contributions
PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state
paid holidays
volunteer time
jury duty
bereavement leave

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

actuarial servicesvalue-based payment modelsreimbursement modelsperformance analysisreporting and settlement calculationscost reduction strategiesquality improvement strategiesfinancial analysisrisk modelinggoal development and oversight

Soft Skills

collaborationcommunicationleadershipstrategic advisingteam managementanalytical thinkingproblem-solvingorganizational skillsinterpersonal skillsmentoring

Certifications

Associate of the Society of ActuariesFellow of the Society of Actuaries