Kaiser Permanente · 1 month ago
Actuarial Analyst VI Commercial Risk Adjustment
Pasadena, CA
Full-time
Onsite
Senior Level, Lead/Staff
10+ years expKaiser Permanente is seeking an Actuarial Analyst VI Commercial Risk Adjustment who will be instrumental in running and interpreting the results of various commercial risk adjusting models. The role involves researching financial risks, leading actuarial documentation, and developing advanced actuarial models for presentation to senior stakeholders.
Health CareHospitalMental HealthNon ProfitPersonal Health
Responsibilities
Practices self-leadership and promotes learning in others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; communicating information and providing advice to drive projects forward; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership; influencing, mentoring, and coaching team members; fostering open dialogue amongst team members; evaluating and responding to the strengths and weaknesses of self and unit members; and adapting to and learning from change, difficulties, and feedback
Drives the execution of multiple work streams by identifying customer and operational needs; developing and updating new procedures and policies; gaining cross-functional support for objectives and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; solving highly complex issues; and influencing the completion of project tasks by others
Leads actuarial documentation and reporting by coordinating the completion of the actuarial portion of financial reports and tax returns, and responses to insurance regulations; and presenting results internally and externally to senior leadership
Leads product line evaluations by coordinating analysis of product line financials, pricing, reserve, valuation , cash flow analysis, and product investment strategy; and making recommendations based on product line performance, risk, and assumptions used in product development
Furthers actuarial research by identifying the needs and implementing complex methods to advance the actuarial techniques, standards, assumptions, and the legal and regulatory environment
Monitors financial risks and opportunities by developing advanced and non-traditional actuarial methods; and leveraging industry knowledge to conduct and determine actuarial analyses
Influences senior business partners by translating complex actuarial constructs into actionable recommendations; and initiating actuarial and financial advice in compliance with the Actuarial Standards of Practice
Identifies needs and provides guidance on how to build framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs
Qualification
Required
Bachelors degree in mathematics or related field AND Minimum ten (10) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement
Associate of the Society of Actuaries Certificate OR Associate of the Casualty Actuarial Society Certificate
Preferred
Commercial risk adjustment experience
Experience running and understanding how to interpret the results of the various commercial risk adjusting models being employed
Comfortable representing and discussing company interests when talking to external large group customers/consultants/brokers
Company
Kaiser Permanente
Kaiser Permanente is a health organization that offers disease prevention, mental healthcare, and chronic disease management services.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$7.48M2018-07-17Grant· $0.08M
2014-08-05Grant· $7.4M
Leadership Team
Gregory Adams
Chair and Chief Executive Officer
James L. Robinson III
Senior Vice President/Area Manager
Recent News
2026-01-24
2026-01-23
2026-01-23
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