7 days left
- Employment Status
- Full Time
Health Care that Starts with You!
Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.
ABOUT UCAREAt UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.WORKING AT UCAREWorking at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do. ACTUARIAL ANALYST Position DescriptionThis position is responsible to provide actuarial support to the organization and management. Perform analysis of Medicaid and Medicare data including pricing, risk adjustment and population analytics. Support the Medicare Bidding process with assumption development. Develop and enhance reporting and dashboards to track product performance and competitive environment. Draft memos and create documentation to support assumptions and actuarial processes.·Update, manage and enhance tools for the annual CMS Medicare Advantage Bidding process including base period development, population analytics, and risk adjustment. Work closely with actuarial staff during bid development. Support trend development.·Develop and maintain reports and dashboards to support medical management, product development, competitive landscape and business strategy.·Maintain documentation of actuarial processes to support Medicare Bid submission and understanding of the CMS Part C Bidding process. Support and document actuarial reporting for department.·Establish and maintain a strong understanding of CMS guidance and regulations for Medicare and Medicaid rates. Assess financial impacts of changes to revenue payments, benefits, provider rules/rates, or other processes specified by CMS.·Continue to grow and learn new programming skills that can be applied to provide ongoing financial analysis and support to management decision making, internal/external reporting, and ongoing financial/data support to internal customers.·Establish and maintain a strong understanding of UCare product lines, reporting requirements, and health care industry ·Represent Health Care Economics on UCare cross-departmental projects as an active contributor and supporting resource. ·Ad hoc analysis and backup support as needed·Other projects and duties as assigned.EducationB.S. in Actuarial Science, Statistics, Computer Science, or related field strongly preferred; demonstrated programming/financial analysis experience may be considered in lieu of degree.Required ExperienceTwo years related experience in Actuarial consulting or direct health insurance industry experience. Two Exams Passed and completion of VEE credits. Intermediate to advanced skills using Excel. Preferred ExperienceMedicare Part C and Part D bidding experience. SQL and SAS experience.THE UCARE DIFFERENCEUCare is proud to be a recognized Star Tribune Top Workplace for the 9th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply. As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.
At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.