Actuary - Health - 10056
Client looking to add a Health Actuary to their growing practice. This position will report to the Director of Actuarial Services. This position will help make estimates for the monthly Financial Statements including, but not limited to, revenue projections and reserves for Incurred But Not Paid claims. Additionally, this position will assist in providing financial contracting guidelines to the Provider Network Management department.
This position will also routinely participate in the data collection and reporting for the Rate Development Template and other Supplemental Data Requests for the Department of Health Care Services. Furthermore, this position will provide ad hoc financial analyses to external departments for new programs and projects. This Position will provide guidance and mentoring to Actuarial Analysts in the Actuarial department.
Review premium rates from and assist in rate negotiations. Support in monthly financial reporting by setting claims incurred but not paid reserves and other financial estimates. Certify actuarial estimates for regulators and third parties including DMHC, DHCS, CMS and Covered California. Analyze data for ad hoc needs including deep data dives and analyses of scenarios for new programs. Assist Provider Network Management and Legal departments in financial aspects of contract negotiations and amendments. Project revenue and cost of health care for the routine budgets and forecasts as well as ad hoc analyses. Collaborate with other departments in work groups for key initiatives and projects. Present analyses and recommendations to stakeholders, including senior management.
Ideal candidate will have at least 5+ years of experience under the supervision of a credentialed (MAAA) Actuary; or, Four years of experience under the supervision of a credentialed (MAAA) Actuary plus successful completion of either one Fellowship Exam or 3 FSA Modules. Must have understanding of financial concepts. Able to create and manage Excel spreadsheets without direction and supervision. Must also have ASA designation at a minimum.