CalOptima
Overview
Actuarial Analyst Sr at CalOptima. We are a mission driven community-based organization that serves member health with excellence and dignity. If you are ready to advance your career while making a difference, review and apply today to help build healthier communities for all. Join us as part of the Financial Analysis team. You will perform actuarial analysis on projects, support the Financial Analysis and other departments, develop and design reports, create and maintain databases to support business requirements, and continually improve data acquisition and reporting methods. Your Contributions To The Team
Actuarial Analysis Support (primary focus 95% of the time). Prepare, analyze and report the monthly Incurred But Not Reported (IBNR) reserve estimate. Prepare the semi-annual Chronic Illness & Disability Payment System (CDPS) risk score and analyze the financial impact for the risk score adjusted capitation rate. Prepare the annual rate development template/bid for all lines of business. Generate and analyze monthly enrollment, claims and utilization reports. Support Accounting by preparing reports related to claims data and/or reserve estimation for internal and external auditors. Design reports from the data warehouse and ensure data integrity. Analyze and assist in making recommendations on monthly IBNR reserve estimates and certain major policy issues. Cross-train as backup for various departmental functions and support ad-hoc analyses. Other duties as assigned (5%). Qualifications
Bachelor's degree in actuarial science, business administration, finance, economics, mathematics or related field plus 2 years of actuarial experience; equivalent education/experience may qualify. 2 actuarial exams with passing scores required. Master's degree in actuarial science, business administration, finance, economics, mathematics or related field is a plus. Experience with managed health care programs and financial modeling is a plus. Knowledge, Abilities & Skills
Develop rapport and maintain effective working relationships with leadership, staff and external contacts at all levels. Work independently with sound judgment; communicate clearly in writing and verbally. Flexible schedule; available for evening and weekend events. Strong analytical, problem-solving and project management skills. Ability to manage multiple projects and collaborate internally and externally. Proficiency with Microsoft Office and job-specific applications; ability to create charts, spreadsheets and reports. Physical Requirements
Visual, auditory and manual dexterity capabilities appropriate for computer use, communication and office tasks. Ability to lift and move objects up to 25 pounds as needed. Compensation & Benefits
Competitive compensation; current hiring range: Pay Grade 312 - $84,092 - $134,548. Partial telework eligible where applicable; comprehensive benefits package; CalPERS pension; PTO, wellness programs, tuition reimbursement, professional and career development opportunities, flexible scheduling. Work Environment
Locations include remote or on-site in California; typical indoor, sedentary work with varying schedules and travel as needed; environment may vary by location. Regulatory & Diversity Commitment
CalOptima Health is an equal opportunity employer. We are committed to attracting, hiring, and retaining a diverse staff and maintaining an inclusive, equitable workplace. If you require reasonable accommodation, contact us. How to Apply
To apply, please visit: https://jobs.caloptima.org/jobs/actuarial-analyst-sr-505-city-parkway-west-california-united-states Posting notes: this description reflects the responsibilities and requirements of the Actuarial Analyst Sr position as described by CalOptima Health. All applications will be reviewed; the selection process may include a skills assessment, phone screen and interview.
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Actuarial Analyst Sr at CalOptima. We are a mission driven community-based organization that serves member health with excellence and dignity. If you are ready to advance your career while making a difference, review and apply today to help build healthier communities for all. Join us as part of the Financial Analysis team. You will perform actuarial analysis on projects, support the Financial Analysis and other departments, develop and design reports, create and maintain databases to support business requirements, and continually improve data acquisition and reporting methods. Your Contributions To The Team
Actuarial Analysis Support (primary focus 95% of the time). Prepare, analyze and report the monthly Incurred But Not Reported (IBNR) reserve estimate. Prepare the semi-annual Chronic Illness & Disability Payment System (CDPS) risk score and analyze the financial impact for the risk score adjusted capitation rate. Prepare the annual rate development template/bid for all lines of business. Generate and analyze monthly enrollment, claims and utilization reports. Support Accounting by preparing reports related to claims data and/or reserve estimation for internal and external auditors. Design reports from the data warehouse and ensure data integrity. Analyze and assist in making recommendations on monthly IBNR reserve estimates and certain major policy issues. Cross-train as backup for various departmental functions and support ad-hoc analyses. Other duties as assigned (5%). Qualifications
Bachelor's degree in actuarial science, business administration, finance, economics, mathematics or related field plus 2 years of actuarial experience; equivalent education/experience may qualify. 2 actuarial exams with passing scores required. Master's degree in actuarial science, business administration, finance, economics, mathematics or related field is a plus. Experience with managed health care programs and financial modeling is a plus. Knowledge, Abilities & Skills
Develop rapport and maintain effective working relationships with leadership, staff and external contacts at all levels. Work independently with sound judgment; communicate clearly in writing and verbally. Flexible schedule; available for evening and weekend events. Strong analytical, problem-solving and project management skills. Ability to manage multiple projects and collaborate internally and externally. Proficiency with Microsoft Office and job-specific applications; ability to create charts, spreadsheets and reports. Physical Requirements
Visual, auditory and manual dexterity capabilities appropriate for computer use, communication and office tasks. Ability to lift and move objects up to 25 pounds as needed. Compensation & Benefits
Competitive compensation; current hiring range: Pay Grade 312 - $84,092 - $134,548. Partial telework eligible where applicable; comprehensive benefits package; CalPERS pension; PTO, wellness programs, tuition reimbursement, professional and career development opportunities, flexible scheduling. Work Environment
Locations include remote or on-site in California; typical indoor, sedentary work with varying schedules and travel as needed; environment may vary by location. Regulatory & Diversity Commitment
CalOptima Health is an equal opportunity employer. We are committed to attracting, hiring, and retaining a diverse staff and maintaining an inclusive, equitable workplace. If you require reasonable accommodation, contact us. How to Apply
To apply, please visit: https://jobs.caloptima.org/jobs/actuarial-analyst-sr-505-city-parkway-west-california-united-states Posting notes: this description reflects the responsibilities and requirements of the Actuarial Analyst Sr position as described by CalOptima Health. All applications will be reviewed; the selection process may include a skills assessment, phone screen and interview.
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