Manager, Actuarial Services (Remote)

Date: Mar 8, 2023

Location: Rancho Cucamonga, CA, US

Company: Inland Empire Health Plans

Job Requisition ID: 8198 


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

Leader: Administers Hires, Terminations, and Performance Reviews

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

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

A reasonable salary expectation is between $153,670.40 and $195,936.00, 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