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Analyst II - Actuarial Services (Health Plan)

Date: Aug 9, 2019

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 2901 

 

Position Summary/ Purpose

 

This position is responsible for performing actuarial analytic support to the department that helps drive company key initiatives.

 

Major Duties/ Responsibilities

 

  1. Supports on-going analyses of financial, budgetary or medical claims data, through forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment. Identifies key issues and trends and brings them to the attention of higher level staff members.  Works with team members and managers to solve problems.
  2. Monitors financial models to support operational initiatives and analytical endeavors and enable decision-making on business and strategic matters. Provides on-going financial analyses. Tests and reconciles all financial models and analytic results. Quantifies the financial impact of opportunities or expenditures.
  3. Works on more complex financial analysis projects under the supervision of a more senior staff member. Monitors, analyzes and evaluates more complex data using statistical tools to identify variances, problems and trends.
  4. Generates regularly scheduled actuarial reports. Reviews and organizes actuarial and operational data for reports. Utilizes statistical tools to monitor and provide ongoing analysis of these reports, noting any aberrant data. May assist in the preparation of complex reports.
  5. Participates and work collaboratively in a variety of special studies and ad hoc analyses in support of departmental business and/or clinical objectives.
  6. Researches and resolves data integrity issues.  Partners with other team members to solve problems.
  7. Acts as a resource to staff in other departments, providing information and explanations related to financial data as needed.
  8. May participate in workgroups or meetings.
  9. Perform ad hoc analysis as assigned.
  10. Ensure the privacy and security of PHI (Protected Health Information) as outlined in IEHP’s policies and procedures relating to HIPAA compliance.

 

Education   Requirement

 

Bachelor’s degree required – Field of study: Actuarial Science, Math, or Finance.  Passed at least 2 SOA exams and plans to continue taking exams

At least 1 year of actuarial experience, Healthcare and/or Medicaid experience is preferred. SQL Programming knowledge is preferred.

 

  • Ability to work independently and take initiative
  • Excellent interpersonal and communication skills (both oral & written)
  • Ability to identify and resolve problems, think creatively, strategically and analytical

 

 

Starting Salary: $69,284  - $88,358  

Pay rate will commensurate with experience

 

Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

 


Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles