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Kaiser Permanente

Integrated healthcare provider and payer platform

Actuarial Analyst 3

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

About the Job

Requirements

  • A bachelor's degree in mathematics or a related field, or equivalent work experience in a directly related field substituted for the degree requirement.
  • At least four years of actuarial experience.
  • An Associate of the Casualty Actuarial Society Certificate or an Associate of the Society of Actuaries Certificate.

Responsibilities

  • Develop, maintain, and enhance Excel-based Medicare pricing models, primarily for Employer Group Waiver Plan products serving Medicare Advantage and Part D populations across multiple geographic markets.
  • Use pricing models to support Employer Group Waiver Plan pricing, forecasting, and financial analysis that inform business and product strategy.
  • Design and develop tools and methodologies to evaluate financial risk and opportunity arising from Medicare policy changes, government proposals, regulations, and reimbursement updates.
  • Research and determine the likelihood of financial risk to the organization.
  • Prepare and review actuarial documentation for accuracy and reasonability, including the actuarial portions of financial reports, tax returns, and responses to insurance regulations.
  • Conduct product line evaluations, including analysis of product line financials, pricing, reserves, valuation, cash flow, performance, risk, and assumptions used in product development.
  • Examine developments in actuarial standards, assumptions, competition, and the legal and regulatory environment.
  • Assess, analyze, and interpret financial risks and opportunities by applying actuarial methods and conducting actuarial analyses.
  • Collaborate with business partners to understand business needs, translate actuarial constructs into non-technical recommendations, and comply with the Actuarial Standards of Practice.
  • Develop and enhance actuarial models; assist with alternative assumptions and forecasts using in-house models or actuarial software; and validate data and results.
  • Provide technical explanations, resources, information, advice, and expertise to coworkers and customers, and occasionally mentor team members.
  • Complete assigned work by applying subject-matter expertise, leveraging data and resources, collaborating cross-functionally, monitoring priorities and deadlines, implementing improvements, and escalating issues or risks as appropriate.

Desired Qualifications

  • One year of leadership experience.
  • Four 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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