Actuary

• Provides senior-level actuarial expertise to guide strategic decision-making, profitability, and risk management across the organization’s insurance portfolio.
• Leads complex analyses and modeling efforts that influence pricing, reserving, and overall business performance, while serving as a key advisor to leadership on emerging trends and risk exposure.
• Translates sophisticated actuarial insights into actionable recommendations that support portfolio optimization, financial planning, and long-term growth.
• Applies advanced analytical methods to enhance forecasting accuracy and risk evaluation capabilities.
• Ensures integrity of actuarial practices through adherence to professional standards and regulatory requirements.
• Plays a critical leadership role within the actuarial function by mentoring team members, promoting knowledge sharing, and driving continuous improvement in analytical approaches and business alignment.
• Partners with underwriting, finance, claims, and senior leadership to influence and optimize business performance and ensure regulatory compliance.
• Performs reserve adequacy analyses, including loss development, trend analysis, and financial projections to support financial reporting.
• Utilizes advanced actuarial techniques, including GLMs, machine learning, and data science methodologies, to enhance risk assessment and profitability.

Senior Actuary

• Lead the actuarial department in developing and implementing pricing strategies, loss reserving methodologies, and risk management frameworks.
• Collaborate with senior leadership to provide actuarial insights that align with the company's business objectives and support growth, profitability, and sustainability.
• Develop and refine actuarial models to support product development, reinsurance structuring, and portfolio optimization.
• Oversee the pricing of new and existing insurance products, ensuring they are competitive while maintaining profitability.
• Work closely with product managers, underwriters, and finance teams to support the development of new insurance offerings by providing actuarial analysis and recommendations.
• Ensure pricing models are up to date and reflect current market trends, claims experience, and regulatory requirements.
• Oversee the establishment of accurate loss reserves, ensuring compliance with statutory and regulatory standards.
• Develop long-term financial forecasts, including projections of premium income, claims costs, and reserve requirements.
• Provide actuarial inputs to support quarterly and annual financial reporting, including statutory filings, solvency reporting, and other regulatory submissions.
• Lead, mentor, and develop a team of actuaries and analysts, fostering a culture of continuous learning and professional development.
• Conduct performance reviews, provide constructive feedback, and implement training programs to enhance the team’s technical and leadership skills.
• Promote collaboration within the actuarial team and across departments, ensuring a cohesive and aligned approach to achieving business goals.

Director – Actuarial

• Completes projects and performs complex actuarial studies
• Obtains, verifies, analyzes and models data including risk reporting and forecasting
• Calculates monthly claims liability reserves
• Develops merit rating factors
• Prepares Department of Insurance annual statement exhibits

Actuarial Analyst II

• Support pricing, reserving, and product analytics projects under guidance of senior actuaries/modelers.
• Extract, validate, and prepare internal data; perform QA and document assumptions/limitations.
• Conduct exploratory analyses to identify trends, relationships, and insights.
• Assist with predictive modeling (GLM/GBM): feature development, testing, refinement, and performance monitoring.
• Build repeatable workflows for data prep, modeling, and validation using Python and/or actuarial tools.
• Create documentation and summary deliverables to support governance and knowledge sharing.
• Communicate findings clearly to business partners; escalate risks/questions as needed.
• Apply industry best practices and internal modeling standards.
• Contribute to additional projects based on business needs and development goals.

Associate Actuarial Analyst

• Develops reporting structure, toolset and analytic strategy to support market and domain teams as well as pricing for programs and products.
• Supports the rating process by determining the need for and building actuarial model enhancements.
• Distributes established reports and responds to inquiries.
• Supports the investigation of trends and anomalies.
• Coordinate and independently develop BI content (reports, dashboards, scorecards, more complex analytic solutions) through the entire development life-cycle to provide data necessary to effectively make business decisions and measure goal attainment and overall performance.
• Share expertise with business areas to assist in understanding enterprise data content, definitions and usage and the available BI tools.
• Maintains robust knowledge of data assets and tools and supports development/maintenance of a formal Knowledge Base.
• Plans, implements, manages and/or contributes to projects that are moderate/high complexity.

Senior Actuarial Analyst – Medical Economics

• Support the Irix product research pipeline by gathering market feedback, contributing to research scoping, and assisting in prioritization efforts
• Perform hands-on analysis to support mortality studies, product enhancements, and research initiatives
• Contribute to the development, maintenance, and delivery of mortality study outputs, including reports, dashboards, databases, and tools
• Translate research findings into clear insights and actionable recommendations in partnership with product, software development, and other technical teams
• Collaborate with cross-functional teams, including Data Science and product teams, to support model development, feature ideation, and performance monitoring
• Assist in evaluating and communicating the value of new and existing products through analysis and client-facing deliverables
• Create clear, high-quality documentation and support standards for transparency, quality, and reproducibility
• Partner with internal and external stakeholders to deliver insights and materials that meet client needs and highlight product value
• Support the creation of thought leadership materials, including presentations, webinars, and white papers
• Contribute to experimentation and prototyping efforts by analyzing results and helping iterate on ideas quickly
• Assist in developing internal tools and resources to improve product and research efficiency
• Present findings and insights to stakeholders to support awareness and decision-making
• Ensure compliance with data governance standards and secure handling of data assets

Actuarial Analyst – IntelliScript

• Leading strategic discussions with our clients to ensure the solution is meeting their needs, in terms of new regulation, managing their risks and optimization of costs
• Will need to build strong internal relationships across the organization and working with peers in other countries
• Feeding into the wider product needs and assisting solution leaders with developing roadmaps and strategy across the Risk Management suite
• Aligning with internal teams such as professional services, customer services and managed services on customer needs, roadmap and strategy
• Working closely with our senior sales, business development and account management teams to help grow the business and support our clients
• Working closely with the development team to ensure products meet customer expectations and aligns with strategy
• There is an expectation of a level of travel meeting our customers, although much can be done virtually
• Leading regular user forums to discuss regulatory and efficiency change requirements from clients
• Maintaining US regulatory and actuarial market knowledge to help shape our solutions

Senior Actuarial Product Development Manager – Insurance Risk Suite

• Completes diverse and complicated projects and performs highly complex actuarial studies
• Performs key actuarial functions including new product pricing and evaluation of the impact of new legislation
• Designs and completes special projects such as developing and maintaining experience-rating formulae
• Responsible for recommendations on pricing, marketing, product design, claims, premium and enrollment administration of business unit
• Provides valuation support for business unit by interpreting financial results

Associate Actuary

• 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

Actuarial Services Manager

• Lead and maintain a high-performing team, with an emphasis on technical and professional development.
• Lead staff through completion of technical projects, ensuring timeliness, compliance, and quality of work.
• Assist in development and leads staff in creation, maintenance, and/or improvement of key processes, models, and reports, including process control documents.
• Provides strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for NC customers.
• Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company.
• Communicate effectively with peers across the enterprise, including Actuarial and Divisional Leadership Teams.
• Support external partnerships with vendors, auditors, regulators, and/or health care providers.
• Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor.
• Meet continuing education standards required for job function, thought leadership, and maintenance of actuarial credentials.

Senior Manager, Actuarial Services – Large Group

• Focus primarily on reserving for various commercial, specialty and legacy lines of business.
• Leverages technology in new and innovative ways and effectively communicates issues and recognizes and proposes solutions to current/existing analyses and new opportunities.
• Continuously enhancing actuarial processes to reflect changing demands.
• Construct analytical approaches by determining data needs, identifying appropriate data sources and recognizing data anomalies while making optimal use of all resources.
• Meets quality service standards by having all worksheets and analyses clearly documented and footnoted and ensures all appropriate work products are reviewed by a more senior actuary, while meeting deadlines without sacrificing work product quality.
• Execute actuarial analyses in a clear and well organized fashion aimed at the appropriate audience and adjusts workload where possible to meet deadlines.
• Support financial planning and product pricing by analyzing data and forecasting company exposures to enable risk management and facilitate profitable, long-term business strategy.
• Communicate knowledge of extensive and impactful financial strategies by monitoring emerging risk issues, trends and product lines and informing management of best practices to influence adoption of robust and valid recommendations for business development.
• Develops deep relationships within the department and develops meaningful relationships outside of the department through project interactions.
• Engages in recruitment activities and helps develop more junior actuaries.
• Contribute to systems, models and procedural revisions by conducting research and recommending changes to actuaries to encourage efficiency and organizational competitiveness in the market.
• Share technical expertise by resolving basic actuarial modeling and risk issues from internal and external sources and escalating issues to ensure department delivers quality analyses and meets business needs and requirements.
• Support the department by taking personal accountability and responsibility for accomplishing particular tasks, while continuously willing to go beyond what is required to overcome obstacles, and learn from any mistake while receiving constructive feedback.
• Independently seek out opportunities for further development and enrichment, actively pursuing actuarial credentials or maintaining continuing education requirements if already credentialed (if on the actuarial track).
• Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value 'can do' people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and, fun.

Senior Analyst II – Actuarial

• Responsible for building relationships with clients, directing projects, and presenting results to clients and answering their questions
• Lead complex Medicare advisory engagements, including provider VBP strategy, ACO consulting, Medicare Advantage, and total cost of care (TCOC) analysis
• Advise health systems, physician groups, and ACOs on Medicare Shared Savings Program (MSSP) performance, risk adjustment strategy, and financial benchmarking
• Support business development around emerging ACO program opportunities, including the CMS LEAD (Leveraging Efficiency And Driving-quality) model and other CMMI innovation programs
• Develop a successful client base through networking, writing articles, speaking engagements, and other marketing methods
• Help identify the issues clients are facing and the resources needed to solve problems
• Plan projects, identify project deliverables, meet deadlines, and ensure compliance with quality procedures
• Manage and mentor actuarial managers and professional staff, fostering career development across the team

Consulting Actuary – Medicare, Provider VBP

• Serve as credible client-facing actuary on complex Medicare advisory work, including provider VBP, ACO strategy, and Medicare Advantage engagements.
• Advise health systems, physician groups, and ACOs on Medicare Shared Savings Program (MSSP) performance, total cost of care (TCOC) benchmarking, and risk adjustment.
• Support emerging ACO program opportunities, including the CMS LEAD (Leveraging Efficiency And Driving-quality) model and other CMMI innovation programs.
• Manage and direct professional and senior professional staff on client engagements.
• Lead workstreams independently, freeing senior team members to focus on business development and strategic oversight.
• Provide quality review and mentoring to junior staff.
• Perform data analysis using Excel, SAS, Python, SQL, and proprietary Milliman programs to assist with consulting for various health insurance work areas (Medicare, Commercial / ACA, Medicaid, Long Term Care, Pharmacy, Provider, and more).
• Support financial modeling for ACO performance evaluation, risk adjustment strategy, and shared savings projections.
• Responsible for reviewing the work of others and assisting with research and product development.
• Responsible for training and coaching professional staff.
• Responsible for several projects simultaneously, providing insight into the technical direction of each project, verifying the initial reasonableness of the solution, and creating client communications for review by Consultants.

Actuarial Manager, FSA – Medicare / Provider VBP

• Synthesize cost, utilization, mix, and unit cost dynamics to identify emerging risks and opportunities impacting market and segment financial performance
• Translate complex medical cost dynamics into implications and recommendations that directly inform market strategy, pricing, and financial planning
• Proactively identify, size, and frame cost management opportunities using rigorous, transparent analytics
• Integrate insights across medical economics domains into a cohesive, market-specific narrative
• Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries)

Principal Actuary – Medicare Advantage

• Support pricing, reserving, and product analytics projects under guidance of senior actuaries/modelers
• Extract, validate, and prepare internal data; perform QA and document assumptions/limitations
• Conduct exploratory analyses to identify trends, relationships, and insights
• Assist with predictive modeling (GLM/GBM): feature development, testing, refinement, and performance monitoring
• Build repeatable workflows for data prep, modeling, and validation using Python and/or actuarial tools
• Create documentation and summary deliverables to support governance and knowledge sharing
• Communicate findings clearly to business partners; escalate risks/questions as needed
• Apply industry best practices and internal modeling standards
• Contribute to additional projects based on business needs and development goals

Associate Actuarial Analyst – Predictive Modeling

• Work in a fast-paced, innovative, and change-oriented work environment
• Build a strong network of peers and mentors
• Attend on-site technical and professional development classes
• Participate in sponsored community service events
• Utilize advanced Excel techniques and programming
• Work with large data sets
• Gain exposure to actuarial software, including GGY AXIS, MG-ALFA, and PolySystems

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