Job Description

Job Description

Job Description

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary
The Actuary - Medicaid role provides comprehensive actuarial support for our Oregon Medicaid business. The position is responsible for a variety of actuarial analyses that help monitor financial performance and inform business strategies. Specific areas of focus include trend analysis, cost containment, forecast and budget setting, evaluating provider reimbursement, and a variety of ad hoc analyses. This is a FT hybrid role based in Portland, Oregon.

Pay Range
$84,790.27 - $108,102.95 annually (depending on experience)
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.

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Benefits:

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays

Required Skills, Experience & Education:

1. Bachelor’s degree or higher in mathematics, actuarial science, or a closely related field.
2. FSA or ASA with recent and relevant job experience.
3. Proficient in SAS and Excel.
4. Proficient in personal computer use including experience with spreadsheet, word processing, and database systems.
5. Strong verbal, written and interpersonal communication skills.
6. Demonstrates a high attention to detail and accuracy.
7. Maintain confidentiality and projects a professional business image.

Primary Functions:

1. Develop reporting to assist in Medicaid rate setting process.
2. Produce monthly and quarterly reports for Finance and Senior Leadership.
3. Assist in the budget development.
4. Produce regular updates to actuarial forecasts.
5. Develop capitation rate for delegated entities.
6. Assist in the preparation of financial filings.
7. Monitor and report on experience for the Medicaid lines of business.
8. Compile and verify data, prepare reports, and provide various levels of analysis and modeling work.
9. Perform other duties as assigned.

Together, we can be more. We can be better.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.

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