Kaiser Permanente · 13 hours ago
Actuarial Analyst IV Commercial Risk Adjustment
Pasadena, CA
Full-time
Onsite
Senior Level
$139K/yr - $180K/yr
6+ years expKaiser Permanente is a healthcare organization seeking an Actuarial Analyst IV Commercial Risk Adjustment. The role involves interpreting commercial risk adjusting models, researching financial risks, and developing actuarial documentation while collaborating with stakeholders to present findings and recommendations.
Health CareHospitalMental HealthNon ProfitPersonal Health
Responsibilities
Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback
Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities
Develops and designs actuarial documentation by completing the actuarial portion of financial reports and tax returns; and responses to insurance regulations
Participates in product line evaluations by conducting and interpreting analysis of product line financials, pricing, reserve, valuation , cash flow analysis; and analyzing and interpreting product line performance, risk, and assumptions used in product development
Utilizes actuarial research by implementing non-complex developments standards, assumptions, and the legal and regulatory environment
Assesses, analyzes and interprets financial risks and opportunities by applying advanced actuarial methods; and conducting actuarial analyses
Collaborates with business partners by translating mathematical constructs into actionable recommendations; and complying with the Actuarial Standards of Practice
Develops and designs advanced actuarial models; assists with the development of alternative assumptions and forecasts using in-house models or actuarial software; and validates the results
Qualification
Required
Bachelors degree in mathematics or related field AND Minimum six (6) 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
Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback
Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities
Develops and designs actuarial documentation by completing the actuarial portion of financial reports and tax returns; and responses to insurance regulations
Participates in product line evaluations by conducting and interpreting analysis of product line financials, pricing, reserve, valuation, cash flow analysis; and analyzing and interpreting product line performance, risk, and assumptions used in product development
Utilizes actuarial research by implementing non-complex developments standards, assumptions, and the legal and regulatory environment
Assesses, analyzes and interprets financial risks and opportunities by applying advanced actuarial methods; and conducting actuarial analyses
Collaborates with business partners by translating mathematical constructs into actionable recommendations; and complying with the Actuarial Standards of Practice
Develops and designs advanced actuarial models; assists with the development of alternative assumptions and forecasts using in-house models or actuarial software; and validates the results
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
Organizational Skills
Project Management
Statistical Programming Language
Stress Tolerance
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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