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Manager, Actuarial Services (Remote Options)

Company: Inland Empire Health Plans
Location: Rancho Cucamonga
Posted on: May 3, 2021

Job Description:

Job Requisition ID: 4789

Position Summary/Position

The Manager of Actuarial Services is responsible for managing a team of analysts that provides actuarial support to various departments and company key initiatives. Provide actuarial analysis and pro-active recommendations to management on both tactical and strategic nature.

Major Functions (Duties and Responsibilities)

 

1. Perform actuarial research, experience studies and statistical analyses
2. Develop actionable recommendations to management relative to all analyses
3. Calculate monthly IBNR and reserves
4. Provide actuarial support for financial forecasts and monitor financial results
5. Perform actuarial analysis to assist with provider contracting effort
6. Assist with rate development and perform reviews for data adequacy and actuarial soundness
7. Evaluate Government reimbursement process to determine areas of risk and opportunity
8. Oversee health plan experience, identify trends and recommend improvements
9. Develop and maintain documentation and provide data to external agencies like auditors, DOI, DMHC, DHCS, etc.) as needed
10. Perform ad hoc actuarial projects and other duties as assigned or requested
11. Serve as a SME for these activities
12. Provide training and guidance to other actuarial associates

Supervisory Responsibilities

Leader: Administers Hires, Terminations, and Performance Reviews

Experience Qualifications

8 years of actuarial experience with the ASA and health care experience. 2 years of managing experience is required.

Preferred Experience

Medicaid experience is preferred.Medi-Cal experience is highly desired.

Education Qualifications

Bachelor's Degree from an accreditedinstitution required.

Preferred Education

Professional Certification

Associate of the Society of Actuaries (ASA) is required.

Fellow of the Society of Actuaries (FSA) is preferred.

Professional Licenses

Drivers License Required

No

Knowledge Requirement

SQL Programming knowledge is preferred.

Skills Requirement

Excellent communication skills (both oral and written) and organization skills.

Abilities Requirement

Ability to work independently and take initiative. Ability to identify and resolve problems, think creatively, strategically, and analytically. Ability to apply extensive knowledge of actuarial methods and procedures. Extremely organized, sharp attention to detail, strong work ethic, expansive learner.

Commitment to Team Culture

The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions

Physical Requirements

Starting Salary:$144,976.00 -$184,849.60

Pay rate will commensurate with experience

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, were ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

Keywords: Inland Empire Health Plans, Rancho Cucamonga , Manager, Actuarial Services (Remote Options), Other , Rancho Cucamonga, California

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