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CalOptima · 11 hours ago

Actuarial Analyst

Orange, CA

Full-time

Hybrid

Entry Level

$72K/yr - $115K/yr

1+ years exp

CalOptima is a mission-driven community-based organization dedicated to serving member health with excellence and dignity. As an Actuarial Analyst, you will provide analytical and actuarial support to the Financial Analysis team, assisting in various projects and ensuring the accuracy of financial data related to healthcare services.

GovernmentHealth CareNon Profit

Comp. & Benefits

Responsibilities

Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability

Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department

Assists in preparing, analyzing and reporting the monthly IBNR reserve estimate

Assists in preparing and analyzing the semi-annual CDPS risk score and reporting the financial impact for the risk score adjusted capitation rate

Reconciles the monthly paid claim between Facets reports and the data warehouse

Reconciles and analyzes the weekly pharmacy invoices with the data warehouse

Assists in preparing standard reports related to claims data and/or reserve estimation for internal and external auditors

Completes other projects and duties as assigned

Qualification

Actuarial scienceFinancial modelingData analysisSpreadsheet proficiencyDatabase experienceCommunication skillsProblem-solvingProject management

Required

Bachelor's degree in actuarial science, mathematics, finance, economics, business administration or related field PLUS 1 year of experience with spreadsheets and databases required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying