Lead Data Analysis and Actuarial Reporting jobs in United States
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L.A. Care Health Plan · 9 hours ago

Lead Data Analysis and Actuarial Reporting

L.A. Care Health Plan is an independent public agency created to provide health coverage to low-income Los Angeles County residents. The Lead Data Analysis and Actuarial Reporting is responsible for leading complex data analysis and reporting initiatives that support regulatory submissions and internal decision-making.

FitnessGovernmentHealth Care

Responsibilities

Design and produce reports and dashboards that support regulatory and business needs
Analyze healthcare cost and utilization data to identify trends and support pricing strategies
Prepare and document submissions such as Rate Development Templates and Special Data Requests
Collaborate with stakeholders to define data requirements and deliver actionable insights
Consolidate and interpret data across business areas to support financial forecasting and strategic planning
Provide key stakeholders with accurate data and analysis to support compliance, litigation, and rate-setting activities
Ensure data accuracy, integrity, and compliance with regulatory standards
Participate in cross-functional projects and contribute to process improvement initiatives
Communicate findings and recommendations to key stakeholders
Lead the work of assigned staff; regularly assign and check the work of others, providing guidance, training and feedback on performance to department management
Assist management in the oversight of the daily office workflow, recommend enhancements to process and procedures
Guide the assigned staff in ensuring that the team's work is completed effectively
May assist in the assigning tasks and communicating project goals
Responsible for the day-to-day execution and implementation of projects and tasks
Facilitate team dynamics, motivate assigned staff and foster an environment conducive to effective collaboration and productivity
Provide direct guidance, instruction and support specific projects or tasks
Participate in team problem-solving, decision-making, and conflict resolution
Manage complex projects, engaging and updating key stakeholders, developing timelines, lead others to complete deliverables on time and ensure implementation upon approval
Perform other duties as assigned

Qualification

Healthcare data analysisMedi-Cal Rate DevelopmentSQLBusiness Intelligence toolsHealthcare cost structuresAnalytical programmingRegulatory requirementsCommunicationProblem-solving skillsTeam collaborationAttention to detail

Required

Bachelor's Degree in Finance or Related Field
At least 4 years of health care data analysis experience
At least 3 years of experience in Medi-Cal Rate Development Template (RDT) submissions
At least 1 year of leading process, program, or staff experience
Analytical programming experience (e.g. SQL, Oracle, or other Business Intelligence tools)
Strong understanding of healthcare cost structures and industry practices
Excellent analytical and problem-solving skills
Ability to interpret complex data and develop actionable insights
Familiarity with regulatory requirements and reporting standards
Excellent verbal and written communication, conflict resolution, motivational, and collaboration skills
Ability to manage multiple priorities and meet deadlines
Proficient in SQL, SAS, Python/R, and business intelligence reporting tools
Exceptional attention to detail and critical-thinking skills
Ability to work closely with a team in a collaborative and interactive environment
Skilled in fostering teamwork and collaboration
Ability to adjust to changing circumstances within the team

Preferred

Master's Degree in Finance
Experience with managed health care plans data retrieval and analysis
Experience with Supplemental Data Requests from DHCS

Benefits

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Company

L.A. Care Health Plan

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L.A. Care’s mission is to provide access to quality health care for L.A.