Actuarial Analyst III - Medicare experience needed
Kaiser Permanente
Actuarial Analyst III - Medicare Experience NeededThis individual contributor role is responsible for developing, maintaining, and enhancing Excel-based Medicare pricing models, with a primary focus on Employer Group Waiver Plan (EGWP) products for Medicare Advantage and Part D populations across multiple geographic markets. This role will use these models to support EGWP pricing, forecasting, and financial analysis activities that inform business and product strategy. In addition, this role will design and develop tools and methodologies to evaluate the financial risk and opportunity to the organization from Medicare policy changes, government proposals, regulations and reimbursement updates.This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, preparing and reviewing actuarial documentation for accuracy, and conducting product line evaluation, actuarial modeling, and financial risk and opportunity analyses.Essential Responsibilities:Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate.Supports actuarial documentation by preparing and reviewing for accuracy and reasonability the actuarial portion of financial reports and tax returns; and responses to insurance regulations.Participates in product line evaluations by conducting analysis of product line financials, pricing, reserve, valuation, cash flow analysis; and analyzing product line performance, risk, and assumptions used in product development.Stays abreast of actuarial research by examining developments in standards, assumptions, competition, and the legal and regulatory environment.Assesses, analyzes and interprets financial risks and opportunities by applying actuarial methods; and conducting actuarial analyses.Supports collaborations with business partners by understanding the business needs; translating actuarial constructs into non-technical recommendations; and complying with the Actuarial Standards of Practice.Supports actuarial modeling by developing and enhancing actuarial models; assisting with the development of alternative assumptions and forecasts using in-house models or actuarial software; and assisting with validating the data and results.Knowledge, Skills and Abilities: (Core)Ambiguity/Uncertainty ManagementAttention to DetailBusiness KnowledgeCommunicationCritical ThinkingCross-Group CollaborationDecision MakingDependabilityDiversity, Equity, and Inclusion SupportDrives ResultsFacilitation SkillsHealth Care IndustryInfluencing OthersIntegrityLearning AgilityOrganizational SavvyProblem SolvingShort- and Long-term Learning & RecallTeamworkTopic-Specific CommunicationKnowledge, Skills and Abilities: (Functional)Analytical SkillsClient FocusDebugging and TroubleshootingDemonstrating Personal FlexibilityEconomicsInitiativeMaintain Files and RecordsManaging Diverse RelationshipsMathematicsOrganizational SkillsProject ManagementStatistical Programming LanguageStress ToleranceTechnical CommunicationTrustMinimum Qualifications:Bachelors degree in mathematics or related field AND Minimum four (4) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries CertificatePreferred Qualifications:One (1) year leadership experience.Four (4) years experience with databases and spreadsheets.Primary Location: California, Oakland, OrdwayAdditional Locations:Portland, ORAtlanta, GARockville, MDPasadena, CAAurora, COSan Diego, CARenton, WAScheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Worker Location: Flexible Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee Job Level: Individual Contributor Department: Po/Ho Corp - HP PROD MGMT-Actuarial SVCS - 0308 Pay Range: $126700 - $163900 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Travel: Yes, 5 % of the Time Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
- ...maintenance of tools used to file Medicare Advantage bids. The role... ...to the organization, aligning actuarial documentation with financial... ...actuarial models to meet business needs.QualificationsMinimum... ...Minimum eight (8) years actuarial experience. Additional equivalent work...SuggestedWork experience placement
- ...Actuary I (Medicare)Remote | HybridWe are currently all mainly... ...mentoring to Actuarial Analysts in the Actuarial department... ...data for ad hoc needs including deep data dives... ...education and/or experience may be considered.Required... ...well above the Actuarial Analyst III position....SuggestedContract workLive inWork at officeLocal areaRemote work
$40 - $45 per hour
Job Title: Financial Analyst III Job Description The Financial Analyst III will support the... ...role based on performance and business needs. Responsibilities Support the FP&A team... ...Skills 2-7 years of strong analytical experience in FP&A, financial planning, corporate finance...SuggestedFull timeContract workTemporary work$26 - $41.28 per hour
The Financial Clearance Specialist III is responsible for ensuring insurance eligibility... ...and consistently, and complete Medicare Secondary Questionnaire accurately with the... ...years Admitting/ insurance verification experience in a hospital, health plan or Physician office...SuggestedHourly payFull timeContract workWork experience placementWork at officeLocal areaImmediate start$50 - $60 per hour
Compliance and Risk Analyst III (Reg W / 23A project) Location: Tempe, AZ or Irving, TX (hybrid... ...certification preferred. 5+ overall experience with the required experience. 3+ years'... ...clients’ business objectives and cultural needs. Our solutions are tailored to each...SuggestedContract workWork at officeLocal areaFlexible hours$67.19k
...Investigation Unit Investigative Analyst IIIJob Category:... ...Investigative Analyst III is responsible for... ...DHCS) and the Centers for Medicare and Medicaid Services (... ...and determines if the need exists to distribute these... ...education and/or experience may be considered. Education...Full time- ...dynamic enterprise environment. The Audit Analyst VI leverages deep expertise in IT risk... ...by identifying customer and operational needs; developing and updating new procedures... ...Minimum four (4) years project management experience.Bachelors degree in finance or related...Work experience placement
$65 - $80 per hour
DescriptionA Kforce client is seeking to hire a Business Analyst III in Los Angeles, California (CA).Responsibilities include:* Provides... ...make moderately complex decisionsRequirements* 6-9+ years of experience * Functional, operational, and technical requirements of...$87.03k - $138.97k
REPORTING ANALYST III- US Mortgage Banking WHAT IS THE OPPORTUNITY?Partners with reporting manager... ...organizational productivityWHAT DO YOU NEED TO SUCCEED?Required Qualifications*... ...Degree or equivalentMinimum 5 years of experience with SAS or SQL, or other data management...Work at officeRemote work- ...Health Program Analyst IIIThe LA County Board of Supervisors recently... ...Health Program Analyst III vacancies related to the homelessness... ...organizations to meet the needs of the target population; provides... .... -AND- five (5) years of experience in the analysis of mental health...Permanent employmentContract workLocal area
$88.85k
...Medical Cost Drivers Analytics Data Analyst III Job Category: Provider Relations Department... ...the program's deliverable meets the needs of the department, organization and... ...of degree, equivalent education and/or experience may be considered. Education Preferred...Full time$131k - $185k
...open to hiring in many locations and travel will be required as needed by our clients. Who You'll Work With:We are seeking a Supply... ...practice* Apply delivery leadership and solution architecture experience to assess the feasibility, sequencing, and risk profile of enterprise...Temporary workLocal area- ...OCIO Business Analyst (IT Analyst III) Location: Glendale, AZ (100% remote) Type: Contract to... ...processes within a business unit; and rely on experience and judgment to plan and accomplish... ...of dashboard Special projects as needed: Ad hoc data analysis based on...Contract workWork experience placementRemote work
$88.85k
...days) to receive an alert: Business Analyst III Job Category: Accounting/Finance Location... ...stakeholder's roadmap and audits as needed. Oversee the business process support... ...of degree, equivalent education and/or experience may be considered. Education...Full timeWork at officeRemote workShift workWeekend work- ...process inefficiencies.Collaborate with system analysts on user story definition for product... ...technical education and/or related work experience.Ability to effectively communicate both verbally... ...II (Category 09), Business Analyst III (Category 08) or Senior Business Analyst...Work experience placementLocal area
$212k - $318k
...AmericaEmployment type: RegularCategory: Actuarial & UnderwritingIndustry: Real... ...actuarial services aligned to their strategic needs and growth objectives. As a Senior Health... ...What you need to have: • Consulting experience with large clients (10,000+ lives) and relevant...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$74.9k - $147.6k
...ends on 10/23/2026. Work you'll do As an Actuarial Analyst on the Insights, Innovation & Operate... ...commute daily, if required, without the need for overnight accommodationsAbility to... ...may be available Preferred: 1+ years of experience applying loss reserving methods1+ years...Work at officeLocal areaVisa sponsorshipNight shift$88.9k - $190.3k
...leading academic health systems. As a Business Intelligence Analyst III/IV , you will provide advanced analytics, database management... ...Strong analytical, problem-solving, and critical-thinking skills. Experience developing databases, reports, dashboards, and business...$35 - $44 per hour
Overview The Corporate Senior Financial Analyst plays a vital role in AHMC Healthcare, Inc. operations. The Corporate Senior Financial... ....15. Other tasks as required. Qualifications TRAINING/EXPERIENCE - Must have seven years of accounting/finance experienceMust...Work at officeHome office$75k - $110k
...Compensation The base pay range for this position is USD $75,000.00/Yr. - USD $110,000.00/Yr. Exact offers will be determined based on job-related knowledge, skills, experience, and location. Job SummaryJob ID: 2026-13543Category: Accounting/FinancePosition Type: Full-TimeFull timeWork at office$95k - $125k
...group as agent, including addressing client needs and structuring an appropriate solution,... ...of relevant corporate financial analysis experience; with specific experience in asset-based... ...Chance Initiative for Hiring Ordinance, (iii) the Los Angeles County Fair Chance...Full timeWork at officeLocal areaRemote work- ...Actuarial ConsultantLocation(s): Ideal: NYC, Philadelphia, Chicago, Charlotte, Atlanta, Houston, Los Angeles; but open to other locationsThe... ..., Statistics, Economics, Finance, or a related field.Experience: 3+ years of actuarial experience. Commitment to pursuing CAS...
$100.4k - $197.9k
...ends on 10/1/2026. Work you'll do As an Actuarial Consultant on the Insights, Innovation &... ...regulatory developments to anticipate client needs and inform solution designRedesign and... ..., and analytics to improve stakeholder experience, reduce cost, and generate actionable...Local areaVisa sponsorship$180.2k - $355.1k
...Our Human Capital practice is adding an Actuarial Senior Manager to our Insights, Innovation... ...actuarial, strategic, and analytical experience to help clients evaluate business issues... ...; and other business and organizational needs. The disclosed range estimate has not been...Local areaVisa sponsorship$100.4k - $197.9k
...ends on 12/31/2026. Work you'll do As an Actuarial Consultant on the Insights, Innovation &... ...be available. Preferred: 2+ years of experience applying loss reserving methods2+ years... ...; and other business and organizational needs. The disclosed range estimate has not been...Local areaVisa sponsorship$90k - $129k
...with assigned customers, if needed by RM (relationship manager).... ...management process.Support junior analysts on OJT basis as assigned by... ...CFA, a plus3-5 years working experience in large financial... ...Initiative for Hiring Ordinance, (iii) the Los Angeles County Fair...Full timeWork experience placementLocal areaRemote work$100k
...banking teams with deep industry sector experience and over three decades of experience. The... ...and seeking experiencedInvestment Banking Analysts across our offices for both M&A and Restructuring... ...Chance Initiative for Hiring Ordinance, (iii) the Los Angeles County Fair Chance...Full timeInternshipWork at officeLocal areaRemote work$80k - $95k
...planning that will guide budgeting process.Perform ad hoc analysis as needed to support operations management.Required Education and... ..., Accounting or related field.Three plus years of related work experience in FP&A functions and lead/participate in budgets preparation and...Work experience placementWork at officeLocal area$24 - $28 per hour
...confidence to reach further.OverviewThe primary role of FX Risk Analyst is to support daily Risk management function of FX Business.... ...Financial Engineering)FX Derivative Products knowledgePrevious experience in Foreign Exchange or Banking industryExcellent communication...Full time- ...Medicaid pricing function within a broad insurer.Entry-level Health actuarial analyst role supporting Medicaid pricing in Los Angeles, with hybrid... ...models, and support rate-impact projections. Candidates need a BA/BS and at least one SOA or CAS exam.RequirementsMust...Work at office2 days per week1 day per week
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