Manager, Actuarial Services - Medicare Advantage experience

Kaiser Permanente; Oakland (CA); Presencial; USD 170.000 - 220.000; Jornada completa

Descripción de la vacante

Kaiser Permanente seeks a senior actuarial manager to lead a team focused on Medicare Advantage bid tools and financial risk analysis. You will drive actuarial modeling, documentation, and strategic recommendations for leadership.

The role requires strong knowledge of CMS bid regulations, SQL/VBA proficiency, and a track record of leadership in actuarial analytics. Located in California, Oakland, with a 40-hour workweek.

Formación

• Bachelor's degree in mathematics or related field and 7+ years actuarial experience.
• Actuarial certification: ASA/CAS/fulfillment as applicable.

Responsabilidades

• Leads and develops the actuarial team, ensuring accurate financial risk assessments.
• Develops and reviews actuarial models, documentation and reports for leadership.
• Translates complex actuarial concepts into actionable business guidance.

Conocimientos

Analytical Skills

Client Focus

Debugging and Troubleshooting

Economics

Getting Work Done Through Others

Initiative

Mathematics

Negotiation

Organizational Skills

Project Management

Statistical Programming Language

Stress Tolerance

Technical Communication

Trust

Educación

Bachelors degree in mathematics or related field

Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries Certificate

Herramientas

SQL

VBA

Descripción del empleo

This role leads a team supporting the build and maintenance of tools used to file Medicare Advantage bids. The role additionally manages tools that help drive bid strategy within Kaiser. This manager will lead a team that works frequently in our excel models but proficiency in SQL or VBA allows deeper study of the data supporting the tools and creating efficiencies. A strong background in the Medicare Advantage bid process and the CMS regulations supporting bid is required for this role.

Job Summary

This managing level employee is primarily responsible for developing and providing recommendations on avoiding financial risk to the organization, leading the completion of actuarial documentation, developing and designing product line evaluations and new or advanced actuarial models, and assessing, analyzing, and interpreting financial risk and opportunity for presentation to mid-level stakeholders.

Essential Responsibilities

• Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; executing performance management guidelines and expectations; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement.
• Manages designated work unit by translating business plans into tactical action items; ensuring all policies and procedures are followed; delegating tasks to meet goals and objectives; overseeing the completion of work assignments; aligning team efforts; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; removing obstacles that impact performance; and guiding performance and developing contingency plans accordingly.
• Completes actuarial documentation by reviewing and coordinating the actuarial portion of financial reports and tax returns, and responses to insurance regulations; recommending report needs; 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, pricing, reserve, valuation , cash flow analysis; interpreting product line performance, risk, and assumptions used in product development; and coaches and develops staff while ensuring business needs or requirements are met.
• Designs and develops actuarial research by designing complex methods to advance standards, assumptions, and the legal and regulatory environment; and ensuring staff completes activities.
• Assesses, analyzes and interprets financial risks and opportunities by using non-traditional actuarial methods and actuarial judgment when conducting actuarial analyses; and coaches and develops staff while ensuring business needs or requirements are met.
• 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; and coaches and develops staff while ensuring business needs or requirements are met.
• Creates framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs; and coaches and develops staff while ensuring business needs or requirements are met.

Knowledge, Skills and Abilities: (Core)

• Ambiguity/Uncertainty Management
• Attention to Detail
• Business Knowledge
• Communication
• Constructive Feedback
• Critical Thinking
• Cross-Group Collaboration
• Decision Making
• Dependability
• Diversity, Equity, and Inclusion Support
• Drives Results
• Facilitation Skills
• Health Care Industry
• Influencing Others
• Integrity
• Leadership
• Learning Agility
• Organizational Savvy
• Problem Solving
• Short- and Long-term Learning & Recall
• Strategic Thinking
• Team Building
• Teamwork
• Topic-Specific Communication

Knowledge, Skills and Abilities: (Functional)

• 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

Minimum Qualifications

• Bachelors degree in mathematics or related field AND Minimum seven (7) 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

Preferred Qualifications

• Two (2) years supervisory experience.
• Six (6) years experience with databases and spreadsheets.

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

Primary Location: California,Oakland,Ordway

Scheduled Weekly Hours: 40

Shift: Day

Workdays: Mon, Tue, Wed, Thu, Fri

Working Hours Start: 08:00 AM

Working Hours End: 05:00 PM

Job Schedule: Full-time

Job Type: Standard

Worker Location: Flexible

Employee Status: Regular

Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee

Job Level: Manager with Direct Reports

Department: Po/Ho Corp - HP PROD MGMT-Actuarial SVCS - 0308

Pay Range: $169800 - $219670 / year

Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.

Travel: No

Work Setting: Flexible

Worker location must align with Kaiser Permanente's Authorized States policy.

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.