Manager, Actuarial Services (Remote)

Position Summary/Position

The Manager of Actuarial Services is responsible for managing a team of analysts that provides actuarial support to various departments and company key initiatives. Provide actuarial analysis and pro-active recommendations to management on both tactical and strategic nature. 

Major Functions (Duties and Responsibilities)

1. Perform actuarial research, experience studies and statistical analyses.
2. Develop actionable recommendations to management relative to all analyses.
3. Calculate monthly IBNR and reserves.
4. Provide actuarial support for financial forecasts and monitor financial results.
5. Perform actuarial analysis to assist with provider contracting effort.
6. Assist with rate development and perform reviews for data adequacy and actuarial soundness.
7. Evaluate Government reimbursement process to determine areas of risk and opportunity.
8. Oversee health plan experience, identify trends and recommend improvements.
9. Develop and maintain documentation and provide data to external agencies like auditors, DOI, DMHC, DHCS, etc.) as needed.
10. Perform ad hoc actuarial projects and other duties as assigned or requested.
11. Serve as a SME for these activities.
12. Provide training and guidance to other actuarial associates.

Major Functions (Duties and Responsibilities) Cont

Supervisory Responsibilities

Experience Qualifications

Eight (8) years of actuarial experience with the ASA and health care experience. Two (2) years of managing experience is required.

Preferred Experience

Medicaid experience is preferred. Medi-Cal experience is highly desired.

Education Qualifications

Bachelor's Degree from an accredited institution required.

Preferred Education

Professional Certification

Associate of the Society of Actuaries (ASA) is required. 

Fellow of the Society of Actuaries (FSA) is preferred.

Professional Licenses

Drivers License Required

Knowledge Requirement

SQL Programming knowledge is preferred.

Skills Requirement

Excellent communication skills (both oral and written) and organization skills.

Abilities Requirement

Ability to work independently and take initiative. Ability to identify and resolve problems, think creatively, strategically, and analytically. Ability to apply extensive knowledge of actuarial methods and procedures. 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