Manager, Actuarial Services

  • 37539
  • Health - Actuarial
  • |
  • California, United States
  • |
  • Jun 11, 2020
Insurance
RESPONSIBILITIES
  • Perform actuarial research, experience studies and statistical analyses.
  • Develop actionable recommendations to management relative to all analyses.
  • Calculate monthly IBNR and reserves.
  • Provide actuarial support for financial forecasts and monitor financial results.
  • Perform actuarial analysis to assist with provider contracting effort.
  • Assist with rate development and perform reviews for data adequacy and actuarial soundness.
  • Evaluate Government reimbursement process to determine areas of risk and opportunity.
  • Oversee health plan experience, identify trends and recommend improvements.
  • Develop and maintain documentation and provide data to external agencies like auditors, DOI, DMHC, DHCS, etc. as needed.
  • Perform ad hoc actuarial projects and other duties as assigned or requested.
  • Serve as a SME for these activities.
  • Provide training and guidance to other actuarial associates.
QUALIFICATIONS
  • 8 years of actuarial experience with the ASA and health care experience.
  • 2 years of managing experience is required.
  • Medicaid experience is preferred. Medi-Cal experience is highly desired.
  • Bachelor's Degree in Actuarial Science, Math or Finance from an accredited institution required.
  • Associate of the Society of Actuaries is required.
  • Fellow of the Society of Actuaries is preferred.
  • SQL Programming knowledge is preferred.
  • Excellent communication skills and organization skills.
  • Ability to apply extensive knowledge of actuarial methods and procedures.
  • Extremely organized, sharp attention to detail, strong work ethic, expansive learner.