Kaiser Permanente · 11 hours ago
Actuarial Analyst V Commercial Risk Adjustment
Pasadena, CA
Full-time
Onsite
Senior Level, Lead/Staff
$156K/yr - $202K/yr
8+ years expKaiser Permanente is a leading health care organization, and they are seeking an Actuarial Analyst V Commercial Risk Adjustment. This role involves interpreting commercial risk adjusting models, assessing financial risks, and collaborating with business partners to provide actionable recommendations.
Health CareHospitalMental HealthNon ProfitPersonal Health
Responsibilities
Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and develop weaknesses; and adapting to and learning from change, difficulties, and feedback
Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and evaluating recommendations made by others
Completes actuarial documentation by reviewing and coordinating the actuarial portion of financial reports and tax returns, and responses to insurance regulations; and presenting results internally to mid-level leadership
Develops and designs product line evaluations by interpreting and communicating findings of analysis of product line financials, reserve, valuation, cash flow analysis; and interpreting product line performance, risk, and assumptions used in product development
Designs and develops actuarial research by designing complex methods to advance standards, assumptions, and the legal and regulatory environment
Assesses, analyzes and interprets financial risks and opportunities by using non-traditional actuarial methods and actuarial judgment when conducting actuarial analyses
Leads collaboration with business partners by translating complex actuarial constructs into actionable recommendations; and developing and formulating accurate actuarial and financial advice in compliance with the Actuarial Standards of Practice
Creates 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 eight (8) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement
Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries Certificate
Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and develop weaknesses; and adapting to and learning from change, difficulties, and feedback
Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and evaluating recommendations made by others
Completes actuarial documentation by reviewing and coordinating the actuarial portion of financial reports and tax returns, and responses to insurance regulations; and presenting results internally to mid-level leadership
Develops and designs product line evaluations by interpreting and communicating findings of analysis of product line financials, reserve, valuation, cash flow analysis; and interpreting product line performance, risk, and assumptions used in product development
Designs and develops actuarial research by designing complex methods to advance standards, assumptions, and the legal and regulatory environment
Assesses, analyzes and interprets financial risks and opportunities by using non-traditional actuarial methods and actuarial judgment when conducting actuarial analyses
Leads collaboration with business partners by translating complex actuarial constructs into actionable recommendations; and developing and formulating accurate actuarial and financial advice in compliance with the Actuarial Standards of Practice
Creates framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs
Ambiguity/Uncertainty Management
Attention to Detail
Business Knowledge
Communication
Critical Thinking
Cross-Group Collaboration
Decision Making
Dependability
Diversity, Equity, and Inclusion Support
Drives Results
Facilitation Skills
Health Care Industry
Influencing Others
Integrity
Learning Agility
Organizational Savvy
Problem Solving
Short- and Long-term Learning & Recall
Teamwork
Topic-Specific Communication
Analytical Skills
Client Focus
Debugging and Troubleshooting
Demonstrating Personal Flexibility
Economics
Getting Work Done Through Others
Initiative
Maintain Files and Records
Managing Diverse Relationships
Mathematics
Negotiation
Organizational Skills
Project Management
Statistical Programming Language
Stress Tolerance
Technical Communication
Trust
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 companies 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
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