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Kaiser Permanente

Integrated healthcare provider and payer platform

Actuarial Analyst 5

Actuarial & Risk ModellingConfirmed live in the last 24 hours
Full-timeOakland, CA, USANo salary listedIn-person

About the Job

Requirements

  • Proficiency in Excel is required for the day-to-day work supporting Medicare Advantage bid tools.
  • A strong background in the Medicare Advantage bid process and the CMS regulations supporting bids is required.
  • A bachelor's degree in mathematics or a related field is required, although equivalent directly related work experience may substitute for the degree.
  • A minimum of eight years of actuarial experience is required.
  • An Associate of the Casualty Actuarial Society certificate or an Associate of the Society of Actuaries certificate is required.

Responsibilities

  • Build and maintain tools used to file Medicare Advantage bids.
  • Support tools that help drive bid strategy within Kaiser.
  • Research and determine the likelihood of financial risk to the organization.
  • Align actuarial documentation with financial reports and tax returns.
  • Develop and design product line evaluations and actuarial models.
  • Assess, analyze, and interpret financial risk and opportunity.
  • Build relationships with cross-functional stakeholders, communicate information, provide advice, and influence team members to drive projects forward.
  • Conduct or oversee business-specific projects by applying subject-matter expertise, developing work plans, determining methodologies, coordinating and delegating resources, partnering with internal and external stakeholders, solving complex problems, escalating risks, monitoring results, and evaluating recommendations.
  • Complete actuarial documentation by reviewing and coordinating actuarial portions of financial reports, tax returns, and responses to insurance regulations, and present results to mid-level leadership.
  • Develop and design product line evaluations by analyzing product-line financials, reserves, valuation, cash flow, performance, risk, and product-development assumptions.
  • Design and develop actuarial research using complex methods to advance standards, assumptions, and the legal and regulatory environment.
  • Assess, analyze, and interpret financial risks and opportunities using non-traditional actuarial methods and actuarial judgment.
  • Lead collaboration with business partners by translating complex actuarial constructs into actionable recommendations and providing actuarial and financial advice in compliance with the Actuarial Standards of Practice.
  • Create frameworks and assumptions for new, existing, and non-traditional actuarial models to meet business needs.

Desired Qualifications

  • Two years of experience in a leadership role, with or without direct reports.
  • Six years of experience with databases and spreadsheets.

About the Company

Kaiser Permanente

Integrated healthcare provider and payer platform

Kaiser Permanente runs an integrated healthcare platform that lets members manage and pay medical, premium, and pharmacy bills online. It serves Medicare Advantage, Individual and Family, and non-employer plans, offering options to pay as a guest or set up payment plans. The platform works by presenting a centralized online portal where users can view bills, choose how to pay, and handle multiple types of charges in one place. Revenue comes from premiums and medical services fees, while the service aims to reduce administrative work for both providers and patients and encourage on-time payments. What sets Kaiser Permanente apart is its combination of healthcare services with a single billing experience across multiple plan types, focusing on a user-friendly, centralized payment process rather than handling billing through separate systems. Its goal is to provide a straightforward, reliable way for members to manage and pay their bills, improving convenience and payment timeliness.

Company size
10,001+
Company stage
Grant
Total funding
$7.5M
Headquarters
Oakland, CA
Founded
1945

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