Qualified Health Insurance Actuary

Clackamas County, through Citycounty Insurance Services (CIS), is seeking a qualified health insurance actuary to provide comprehensive actuarial services for their self-funded medical, dental, vision, and pharmacy plans. The Request for Proposals (RFP) requires a highly skilled professional who meets qualifications per OAR 836-011-0255, specifically being a member in good standing of the American Academy of Actuaries. Key deliverables include determining reserve adequacy, performing IBNR calculations, developing annual rates for multiple product offerings, reviewing prospective new groups, contributing to carrier renewal requests, participating in monthly high-cost claims reviews, and providing periodic experience updates. The procurement timeline is structured with RFP issuance on March 4, 2025, questions due by March 14, 2025 at 5:00 p.m. PT, and proposals due by March 28, 2025 at 5:00 p.m. PT. The anticipated contract award date is April 18, 2025, with services scheduled to commence on June 1, 2025. Proposers must submit either hourly rates or fixed fees for each service element and detail any travel-related expenses requiring reimbursement.

The RFP does not explicitly mention set-aside designations or restrictions for disadvantaged enterprises. CIS serves Oregon cities and counties through two trusts: EBS and AOCIT, representing the League of Oregon Cities and Association of Oregon Counties, with a 10-member Board of Trustees overseeing the procurement process. The organization follows a policy of seeking actuarial services proposals every five years, indicating this is a strategic, periodic procurement. While specific budget ranges are not detailed in the provided documents, the comprehensive scope of work suggests a substantial contract value commensurate with the breadth of required actuarial services. The selected actuary will be responsible for supporting CIS's complex health benefit planning across multiple municipal and county entities in Oregon, requiring extensive expertise in healthcare financial modeling and risk assessment.