Sr Mgr, Actuarial Services - Medicare experience needed

Kaiser Permanente; Oakland (CA); On-site; USD 187,000 - 242,000; Full time

Benefits offered by this job

Flexible work arrangements

Job summary

Kaiser Permanente seeks a Senior Manager to lead actuarial efforts for Medicare pricing, EGWP MA and Part D products across markets. The role drives pricing methodologies, forecasting and risk assessment to support strategy and long-term performance.

The position requires translating complex actuarial concepts into actionable guidance for stakeholders, developing product line evaluations and advanced models, and supervising teams while ensuring regulatory compliance and accurate reporting.

Qualifications

• Bachelor's degree in mathematics or related field and at least eight years actuarial experience.
• Associate of the Society of Actuaries or Associate of the Casualty Actuarial Society.
• Two years supervisory experience minimum.

Responsibilities

• Provides actuarial leadership for Medicare pricing and financial strategy.
• Leads assessment of actuarial/financial implications of Medicare policy changes.
• Develops and analyzes product line evaluations, pricing, and risk models.
• Completes actuarial documentation and presents results to leadership.
• Mentors staff and collaborates with cross-functional teams.

Skills

Leadership

Strategic Thinking

Communication

Problem Solving

Decision Making

Cross-Functional Collaboration

Mathematics

Risk Management

Financial Analysis

Education

Bachelor's in Mathematics or related field

Actuarial Certification (SOA/CAS)

Tools

Databases

Spreadsheets

SQL

Advanced Excel

Job description

This Senior Manager provides actuarial leadership for Medicare pricing and financial strategy, with primary responsibility for Employer Group Waiver Plan (EGWP) Medicare Advantage and Part D products across multiple geographic markets. The position is accountable for managing EGWP pricing methodologies, financial forecasting, and risk assessment activities that support product strategy, business planning, and long-term financial performance.

In addition, the Senior Manager will serve as a subject matter expert and lead the assessment of the actuarial and financial implications associated with Medicare policy developments, including CMS Advance/Final Notices, Proposed and Final Rules, and other regulatory and legislative actions affecting Medicare programs (both Individual and Group).

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; hiring, training, and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst departments; strategically evaluating talent for succession planning; setting performance management guidelines and expectations across units; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement.
• Manages designated units by translating business plans into tactical action items; communicating goals and objectives; ensuring all policies and procedures are followed; overseeing the completion of work assignments; assuming responsibility for decision making; aligning team efforts; building accountability for and measuring progress in achieving results; incorporating resources, costs, and forecasts into unit plans; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; partnering with key stakeholders and business leaders to ensure products and/or services meet requirements and expectations while aligning with departmental strategies; and influencing units to operate in alignment with business objectives.
• 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

• Minimum two (2) years supervisory experience
• 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 Society of Actuaries Certificate OR Associate of the Casualty Actuarial Society Certificate

Preferred Qualifications

• Six (6) years experience with databases and spreadsheets.
• Bachelor's degree in statistics, actuarial science, mathematics , engineering, or physics.

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: $187100 - $242110 / 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: Yes, 5 % of the Time

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.