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Business Analyst - Actuarial

Company: PacificSource Health Plans
Location: Springfield
Posted on: January 9, 2021

Job Description:

Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.Provides support to actuarial services through accurate and reliable data gathering and reporting. Maintains and continuously improves department infrastructure. Validates and provides quality assurance for data sets programmatically.Essential Responsibilities:

  • Perform accurate and complete data extraction from claims data warehouse, including medical, pharmacy and laboratory data sets, to meet project requirements.
  • Diagnose data problems. Work closely with analytics, business intelligence, and IT staff as necessary to resolve them.
  • Work with actuaries and underwriters to maintain and assist in the creation of department tools for tasks such as financial reporting, group insurance renewals, enterprise risk management, claims reserves, notice of change letters, and rate filings.
  • Create high quality documents to be delivered to internal and external customers.
  • Engage in compliance activities as required by various State and Federal laws.
  • Provide information and support in ad hoc projects.Supporting Responsibilities:
    • Meet department and company performance and attendance expectations.
    • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
    • Perform other duties as assigned.Work Experience: Preferred 2 years of analytical experience in insurance, healthcare, or related field. Demonstrated high degree of confidence and ability to work independently.Education, Certificates, Licenses: Bachelor Degree required, with at least one year of advanced mathematics, computer science, similar coursework, or equivalent work experience.Knowledge: Advanced MS Excel skills. Proficiency working with Visual Basic for Applications and/or SQL; or otherwise experience with comparable languages or programs such as Python, Ruby, MATLAB, R, or SAS. Strong math and technical skills. Understands fundamentals of data analysis and interpretation. Ability to identify and solve complex problems. Requires excellent computer, oral and written communication skills and organization skills; ability to read, analyze and interpret documents and information; and ability to respond to common inquiries and effectively present information to a variety of groups. Ability to deal responsibly with confidential information.Competencies
      • Adaptability
      • Building Customer Loyalty
      • Building Strategic Work Relationships
      • Building Trust
      • Continuous Improvement
      • Contributing to Team Success
      • Planning and Organizing
      • Work StandardsOur Values
        • We are committed to doing the right thing.
        • We are one team working toward a common goal.
        • We are each responsible for our customers' experience.
        • We practice open communication at all levels of the company to foster individual, team and company growth.
        • We actively participate in efforts to improve our many communities-internal and external.
        • We encourage creativity, innovation, continuous improvement, and the pursuit of excellence.Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.Our Values
          • We are committed to doing the right thing.
          • We are one team working toward a common goal.
          • We are each responsible for customer service.
          • We practice open communication at all levels of the company to foster individual, team and company growth.
          • We actively participate in efforts to improve our many communities-internally and externally.
          • We encourage creativity, innovation, and the pursuit of excellence.
          • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

Keywords: PacificSource Health Plans, Springfield , Business Analyst - Actuarial, Professions , Springfield, Oregon

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