Healthcare Medicaid Senior Actuarial Associate

posted on April 16, 2020

Job Description

Location: Oakland, CA

Type: Permanent

Job Description:

  • Responsible for national actuarial support to the Medicaid business line and to the regional actuaries who support Medicaid in the regions.
  • Provides Medicaid coverage to over 900,000 members across the program.
  • Provide actuarial services to develop best-practice actuarial models and promote implementation Program-wide.
  • Maintain accountability for the development of the organization’s rate structure, maintenance of adequate reserves, and development of new products.
  • Provide data/analytic expertise to support actuarial services including financial reporting, trend analysis, utilization studies, rate development and claims liability estimates.

Essential Functions:

  • Evaluates product line performance and the risk and appropriateness of assumptions used in product development.
  • Initiates and designs high priority primary research activities on behalf of clients.
  • Addresses opportunities for process improvements and influencing change.
  • Works on projects that require more complex planning and direction setting with diverse and multiple stakeholders.
  • Analyzes the financial risks for various asset/liability matching scenarios and monitors the appropriateness of reserves.
  • Serves as an expert on the current health care market.
  • Helps identify key gaps in knowledge and needed research for Program and Regions.
  • Guides clients away from redundant, non-strategic, cost-ineffective research.
  • Sets priorities for all ad-hoc projects and analyses with key clients.
  • Assists clients in strategic planning, marketplace analysis, estimating growth potential, product research, image and reputation analysis, brand building, and service performance and improvements.
  • Makes initial determinations on reserves, dividend allocations, and surplus forecasts.

Qualifications:

  • Five (5) years of actuarial experience.
  • Bachelor’s degree in mathematics, statistics, computer science.
  • Belongs to the Society of Actuaries with the designation of ASA (Associate).

Additional Requirements:

  • Ability to manage large, complex projects and oversee multiple projects at the same time.
  • Ability to apply advanced actuarial methodologies and their applications to solve business problems.
  • Ability to apply advanced principles, theories, and concepts and explain to clients.
  • Strong familiarity with the internal and external statistical plans and sources of data, and the use of spreadsheet applications.
  • Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

  • Experience in both actuarial and business operations preferred.
    8 years of health actuarial experience
  • Medicaid actuarial experience (three or more years) required
  • Fellow of the Society of Actuaries
  • Member of the American Academy of Actuaries
  • Strong technical actuarial skills
  • Demonstrated ability to communicate and work collaboratively with actuarial teams and non-actuarial business partners

 

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