Analyst III - Actuarial Services (Remote)

Date: Mar 6, 2023

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 8200 


Position Summary/Position


This position is responsible for providing actuarial analytic support to various departments and company key initiatives. Serves as a technical consultant and SME to financial analysts and, other departments and on projects.

Major Functions (Duties and Responsibilities)


1. Leads 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. Uses professional concepts and internal policies and procedures to solve problems or provide suggestions.
2. Builds financial models to support operational initiatives and analytical endeavors and enable decision-making on business and strategic matters. Quantifies the financial impact of opportunities or expenditures. Tests and reconciles all financial models and analytic results. Provides on-going financial analyses.  Consolidates a wide-range of operating and financial projections for the development of short- and long-term business plans.
3. Works on complex financial analysis projects more independently and under supervision of a more senior staff member if required. Monitors, analyzes and evaluates complex data using statistical tools to identify variances, problems and trends. May be responsible for bigger projects.
4. Generates and distributes 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 be responsible in the preparation of complex reports.
5. Participates or leads 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. Works independently or with other departments to solve problems.
7. Acts as a resource to staff in other departments, providing information and explanations related to financial data as needed. Answers most questions and refers highly complex issues to others.
8. May participate in workgroups or meetings. Communicates and presents financial analyses and models to appropriate audiences
9. May assist in training staff on the use of financial reports and data.
10. Performs a variety of ad hoc data and actuarial analysis requests.

Major Functions (Duties and Responsibilities) Cont

Supervisory Responsibilities

Leading: Guides Others

Experience Qualifications


Four (4) years of actuarial experience required.
Will accept three (3) years of actuarial experience with completed ASA credential in lieu of full four (4) year work experience requirement.

Preferred Experience


Healthcare and/or Medicaid experience is preferred.

Education Qualifications


Bachelor’s degree from an accredited institution required.

Preferred Education

Professional Certification


Passed at least 4 SOA exams and plans to continue taking exams.

Professional Licenses

Drivers License Required


Knowledge Requirement


SQL Programming knowledge is preferred.

Skills Requirement


Excellent interpersonal and communication skills (both oral & written).

Abilities Requirement


Ability to work independently and take initiative. Ability to identify and resolve problems, think creatively, strategically and analytically. Extremely organized, sharp attention to detail, strong work ethic, expansive learner.

Commitment to Team Culture


The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.

Working Conditions


Position is eligible for telecommuting/remote work location model upon completing the necessary steps and receiving HR approval. The incumbent approved to telecommute may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs determined by IEHP leadership.

Work Model Location


Physical Requirements

Hearing: One-on-One - FREQUENTLY
Hearing: In a group - FREQUENTLY
Hearing: Conference Speakers/Video Calls/Radio Calls - FREQUENTLY
Hearing: Over the Telephone/Cell Phone - FREQUENTLY
Communicate: Information/ideas verbally - FREQUENTLY
Near Visual Acuity - FREQUENTLY
Regular contacts: co-workers, supervisor - FREQUENTLY
Keyboarding: 10-Key - FREQUENTLY
Keyboarding: Touch-Screen - FREQUENTLY
Keyboarding: Traditional - FREQUENTLY
Use of computer mouse - FREQUENTLY
Problem Solving - FREQUENTLY
Understand and follow direction - FREQUENTLY
Regular and reliable attendance - CONSTANTLY

A reasonable salary expectation is between $103,708.80 and $132,225.60, based upon experience and internal equity.

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, designated as “Great Place to Work.” With a provider network of more than 5,000 and a team of more than 3,000 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and 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 stellar benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.

Nearest Major Market: Riverside
Nearest Secondary Market: Los Angeles