Actuarial Analyst Sr

Actuarial Analyst Sr Job no: 493690 Work type: Full Time Location: 505 City Parkway West Categories: Finance About the Opportunity We are a mission‑driven community‑based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all. We are hoping you will join us as a Actuarial Analyst Sr and help shape the future of healthcare where you'll be an integral part of our Financial Analysis team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. You will perform actuarial analysis on projects and support the Financial Analysis and other departments within CalOptima Health. You will also develop and design reports, create and maintain databases to support the business requirements of the team and continually improve data acquisition and reporting methods. Together, we are building a stronger, more equitable health system. Your Contributions To the Team 95% — Actuarial Analysis Support Participates in a mission‑driven culture of high‑quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short‑ and long‑term goals/priorities for the department. Prepares, analyzes and reports the monthly Incurred But Not Reported (IBNR) reserve estimate. Prepares the semi‑annual Chronic Illness & Disability Payment System (CDPS) risk score and analyzes and reports the financial impact for the risk score adjusted capitation rate. Prepares the annual rate development template/bid for all lines of business. Generates and analyzes monthly enrollment, claims and utilization reports. Provides support to the Accounting department in preparing reports related to claims data and/or reserve estimation for internal and external auditors. Designs reports from the data warehouse as needed and ensures data integrity. Analyzes and assists in making recommendations regarding the monthly IBNR reserve estimate and the financial aspects of certain major policy issues. Cross‑trains as backup for various departmental functions. Supports with ad‑hoc analysis requests. 5% — Other Completes other projects and duties as assigned. Qualifications Bachelor's degree in actuarial science, business administration, finance, economics, mathematics or other related field PLUS 2 years of actuarial experience required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position may also be qualifying. 2 actuarial exams with passing scores required. Desired Qualifications Master's degree in actuarial science, business administration, finance, economics, mathematics or other related field. Experience with managed health care programs and financial modeling. Your Knowledge & Abilities to Bring to this Role Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem‑solve and possess project management skills. Work in a fast‑paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi‑program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job‑specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations) Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face‑to‑face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds. Ways We Are Here For You (Benefits) You'll enjoy competitive compensation for this role. Our current hiring range is: Pay Grade: 312 – $84,092 – $134,548 ($40.43 – $64.6865) . The base pay offered will take into account internal equity and also may vary depending on the candidate's job‑related knowledge, skills, and experience among other factors. This position is approved for Partial Telework (If the position is Telework, it is eligible in California only). A comprehensive benefits package. CalPERS pension program and additional retirement packages. Additional benefits and perks: A generous PTO program. A quality work life balance. Various wellness programs. Tuition Reimbursement. Professional development opportunities. Career development opportunities. Flexible scheduling. And the satisfaction of knowing your work directly impacts and improves healthcare access for thousands of individuals and families. Our Work Environment If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. Equal Employment Opportunity CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at View phone number on click.appcast.io if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. #J-18808-Ljbffr CalOptima Health