A large Medical Insurance Company is seeking a highly motivated and experienced Actuary to join our team. The Actuary will ensure the fiscal integrity of the Health's program and policy decisions and facilitate executive decision-making by providing timely and accurate actuarial and financial analyses. The incumbent will be responsible for the ongoing financial planning and analysis needs of the organization, including the review and analysis of revenue, medical costs and their underlying trends.


Position Information:


* Salary $150k- $175k DOE


* Hybrid position.


Duties & Responsibilities:


80% - Financial Analysis Support


o Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.


o Develops clinical utilization, cost profiles and other indicators for all areas of medical costs, including but not limited to Health Direct, pharmacy and skilled nursing facilities.


o Completes analysis to support regulatory filings, including state rate development models and Medicare Advantage bids.


o Supports operating budget development and monthly reporting analysis.


o Responsible for incurred but not reported reserves (IBNR) modeling and analysis.


o Advises management of significant changes or unusual trends in medical costs and proposes recommendations for management consideration.


o Supports activities related to regulatory and financial audits and findings.


o Assists with the development of appropriate reimbursement rates and other financial contract provisions for Health with the state of California.


o Assists in evaluation of decision support and analysis tools, as well as improvements to the data warehouse.


o Supports management with budgeting and forecasting duties.


15% - Administrative Support


o Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.


o Provides direction and guidance to Financial Analysis staff in accordance with established departmental and organizational policies.


o Serves as primary liaison with external actuarial services and support.


Minimum Qualifications:


* Bachelor's degree in health care economics/planning, business, mathematics or related field required.


* 3 years of health care informatics or actuarial experience required.


* An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.


Preferred Qualifications:


* Master's degree in health care economics/planning, business, mathematics or related field required.


Required Licensure / Certifications:


* Associate of the Society of Actuaries (ASA) certification required.


Knowledge & Abilities:


? Develop rapport and establish and maintain effective working relationships with 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 efficiently.


? Manage multiple projects and identify opportunities for internal and external collaboration.


? Motivate and lead multi-program teams and external committees/coalitions.


All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, mar