Actuary Principal
Company: CalOptima
Location: Orange
Posted on: April 30, 2024
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Job Description:
Actuary Principal CalOptima CalOptima Health is seeking a highly
motivated an experienced Actuary Principal to join our team. The
Actuary Principal is a key member of the Financial Analysis
department. The incumbent is responsible for rendering actuarial
analysis and pro-active recommendations to management on both
tactical and strategic nature. In addition, the incumbent
collaborates with members from business units across the
organization and provide actuarial services that enable actionable
insights to operations, and to facilitate solutions that allow for
informed decision making. Position Information: Department:
Financial Analysis Salary Grade: Q - $130,000 - $214,544 Work
Arrangement: Particle Telework **This position is eligible for
telework in California.** Duties & Responsibilities: 80% -
Financial Analysis Support Leads actuarial efforts that affect new
and existing business and determines the impact of various actions.
Provides design and oversight of complex actuarial projects.
Provides analytic support necessary to assist with the planning and
development of strategic initiatives in line with the company's
mission, vision and values. Collaborates with other business units
across the organization to develop cost benefit analysis for
strategic initiatives. Provides support for the development of
Incurred But Not Reported Reserves (IBNR) estimates, state rate
development templates, Medicare bids, medical costs and trends,
capitation rates and Chronic Illness and Disability Payment System
(CDPS) risk scores. Supports management with budgeting and
forecasting duties, as needed. Serves as primary liaison with
external actuarial services and support. Assists in evaluation of
decision support and analysis tools, as well as improvements to the
Data Warehouse. 15% - Administrative Support 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 with recruiting,
training and coaching team members. Maintains deep knowledge and
insight of competitive and regulatory landscape, along with
research, on various aspects of health care industry. Assists in
the formulation of policies and procedures. Understands and
interprets policies, procedures and regulations. 5% - Completes
other projects and duties as assigned. Minimum Qualifications:
Bachelor's degree in health care economics/planning, business,
mathematics or related field required. 6 years of actuarial
experience in health insurance experience required. 5 years of
actuarial experience with Medi-Cal managed care 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. Preferred
Qualifications: Master's degree in health care economics/planning,
business, mathematics or related field. 3 years of actuarial
experience with Medicare required. Required Licensure /
Certifications: Fellow of the Society of Actuaries (FSA)
certification required. Knowledge & Abilities: Develop rapport and
establish and maintain effective working relationships with
CalOptima Health's leadership and staff and external contacts at
all levels and with diverse backgrounds. Work independently and
exercise sound judgment. Communicate clearly and concisely, both
orally and in writing. Work a flexible schedule; available to
participate in evening and weekend events. Organize, be analytical,
problem-solve and possess project management skills. Work in a
fast-paced environment and in an efficient manner. Manage multiple
projects and identify opportunities for internal and external
collaboration. Motivate and lead multi-program teams and external
committees/coalitions. Utilize computer and appropriate software
(e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job
specific applications/systems to produce correspondence, charts,
spreadsheets, and/or other information applicable to the position
assignment. Physical Requirements (With or Without Accommodations):
Ability to visually read information from computer screens, forms
and other printed materials and information. Ability to speak
(enunciate) clearly in conversation and general communication.
Hearing ability for verbal communication/conversation/responses via
telephone, telephone systems, and face-to-face interactions. Manual
dexterity for typing, writing, standing and reaching, flexibility,
body movement for bending, crouching, walking, kneeling and
prolonged sitting. Lifting and moving objects, patients and/or
equipment 10 to 25 pounds Work Environment: If located at the 500,
505 Building or a remote work location: Work is typically indoors
and sedentary and is subject to schedule changes and/or variable
work hours, with travel as needed. There are no harmful
environmental conditions present for this job. The noise level in
this work environment is usually moderate. If located at PACE: Work
is typically indoors in a clinical setting serving the frail and
elderly. There may be harmful or hazardous environmental conditions
present for this job. The noise level in this work environment is
usually moderate to loud. If located in the Community: Work is
typically indoors and sedentary and is subject to schedule changes
and/or variable work hours, with travel as needed. Employee will
occasionally work outdoors in varied temperatures. There may be
harmful or hazardous environmental conditions present for this job.
The noise level in this work environment is usually moderate to
loud. About CalOptima Health: CalOptima Health is the single
largest health plan in Orange County, serving one in four
residents. Our motto \\"Better. Together. is at the heart of our
mission to serve members with excellence, dignity and respect. We
are a public agency made up of compassionate leaders and
professionals working together to strengthen our community's
health. We are continuing to build a culture that promotes
diversity and inclusion within our community where employees have a
sense of belonging, and are valued for their ideas, contributions,
and their unique individual perspectives they bring. CalOptima
Health has been recognized as one of Orange County's best places to
work, so we know there is something special about our organization.
It is why people choose to work here and why they choose to stay!
About our Benefits & Wellness options: At CalOptima Health, we know
that a healthy and happy workforce is a thriving workforce, which
is why we offer a comprehensive benefits package, including
participation in the California Public Employees Retirement System
(CalPERS), low-cost medical/vision/dental insurance options, and
paid time off. To support quality work-life balance, we allow
flexible scheduling during core business hours, telework options
for some positions, work schedules that allow every other Monday or
Friday off (9/80 schedule), and a wellness program featuring
diverse activities. Additionally, CalOptima Health contributes 4%
of pensionable earnings to a 401(a) retirement program with no
required employee contribution. For those who are interested in
additional retirement savings, employees have access to 457(b)
retirement plans with pre/post-tax contribution options. For more
information, please click on the 2024 CalOptima Health Benefits
Guide regarding our comprehensive benefits and wellness package.
IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications
will be accepted on a continuous basis until a sufficient number of
qualified applications have been received. The deadline for the
first review of applications is April 19, 2024 at 9:00 PM (PST).
Applicants are encouraged to apply early. Applicants that apply
after the first review are not guaranteed to be considered for this
recruitment. This recruitment may close at any time without notice
after the first review date. The selection process may include, but
is not limited to, a skills assessment, phone screen and interview.
The successful candidate will be required to undergo a reference /
background check (to include a conviction record) and if applicable
also pass a post-offer pre-employment medical examination (which
will include a drug screening). Internal CalOptima Health
applicants should apply through InfoNet. Communication regarding
your application will be sent to the email address listed on your
application. Please check your email, including your SPAM folder,
regularly throughout the recruitment process. You can also visit
your candidate portal to receive the most up to date status of your
application. CalOptima Health is committed to attracting, hiring,
and retaining a diverse staff, where we will honor your unique
experiences, identity, and perspectives. Our organization strives
to create and maintain a workplace environment that is inclusive,
equitable and welcoming so we can truly be Better Together.
CalOptima Health is an equal opportunity employer and makes all
employment decisions on the basis of merit. CalOptima Health wants
to have qualified employees in every job position. CalOptima Health
prohibits unlawful discrimination against any employee, or
applicant for employment, based on race, religion/religious creed,
color, national origin, ancestry, mental or physical disability,
medical condition, genetic information, marital status, sex, sex
stereotype, gender, gender identity, gender expression,
transitioning status, age, sexual orientation, immigration status,
military status as a disabled veteran, or veteran of the Vietnam
era, or any other consideration made unlawful by federal, state, or
local laws. CalOptima Health also prohibits unlawful discrimination
based on the perception that anyone has any of those
characteristics or is associated with a person who has, or is
perceived as having, any of those characteristics. If you are a
qualified individual with a disability or a disabled veteran, you
may request a reasonable accommodation at [phone removed] if you
are unable or limited in your ability to access job openings or
apply for a job on this site as a result of your disability. To
apply, please visit: Posted by the FREE value-added recruitment
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Keywords: CalOptima, National City , Actuary Principal, Accounting, Auditing , Orange, California
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