Medicaid Senior Actuarial Associate

$126,000 - $160,000 yearly
  • The Resume Review - Recruiting Department
  • Oakland, CA, USA
  • Aug 06, 2020
Full time Health Care

Job Description

Our client in the healthcare industry is seeking an experienced Medicaid Senior Actuarial Associate to join their team of talented professionals in Oakland, CA.    

Job Information

Responsible for national actuarial support to the Medicaid business line and to the regional actuaries who support Medicaid in the regions.  Kaiser Permanente provides Medicaid coverage to over 900,000 members across the program.

 

Provide actuarial services to develop best-practice actuarial models and promote implementation Program-wide. Maintain accountability for the development of the organization's rate structure, maintenance of adequate reserves, and development of new products. Provide data/analytic expertise to support actuarial services including financial reporting, trend analysis, utilization studies, rate development and claims liability estimates.


Essential Functions:

Evaluates product line performance and the risk and appropriateness of assumptions used in product development.
• Initiates and designs high priority primary research activities on behalf of clients.
• Addresses opportunities for process improvements and influencing change.
• Works on projects that require more complex planning and direction setting with diverse and multiple stakeholders.
• Analyzes the financial risks for various asset/liability matching scenarios and monitors the appropriateness of reserves. Serves as an expert on the current health care market.
• Helps identify key gaps in knowledge and needed research for Program and Regions.
• Guides clients away from redundant, non-strategic, cost-ineffective research.
• Sets priorities for all ad-hoc projects and analyses with key clients.
• Assists clients in strategic planning, marketplace analysis, estimating growth potential, product research, image and reputation analysis, brand building, and service performance and improvements.
• Makes initial determinations on reserves, dividend allocations, and surplus forecasts. 

Job Requirements:

Experience
• Five (5) years of actuarial experience.
Education
• Bachelor's degree in mathematics, statistics, computer science.
License, Certification, Registration
• Belongs to the Society of Actuaries with the designation of ASA (Associate).Minimum Experience  

Preferred Qualifications:

  • Experience in both actuarial and business operations preferred. 
  • 8 years of health actuarial experience
  • Medicaid actuarial experience (three or more years) required
  • Fellow of the Society of Actuaries
  • Member of the American Academy of Actuaries
  • Strong technical actuarial skills
  • Demonstrated ability to communicate and work collaboratively with actuarial teams and non-actuarial business partners