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Kaiser Permanente

Integrated healthcare provider and payer platform

Senior Manager – Actuarial Services

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

About the Job

Requirements

  • Minimum two years of supervisory experience.
  • A bachelor's degree in mathematics or a related field and a minimum of eight years of actuarial experience; equivalent work experience in a directly related field may substitute for the degree requirement.
  • An Associate of the Society of Actuaries certificate or Associate of the Casualty Actuarial Society certificate.

Responsibilities

  • Provide actuarial leadership for Medicare pricing and financial strategy, primarily for Employer Group Waiver Plan Medicare Advantage and Part D products across multiple geographic markets.
  • Manage Employer Group Waiver Plan pricing methodologies, financial forecasting, and risk assessment activities supporting product strategy, business planning, and long-term financial performance.
  • Lead assessment of actuarial and financial implications associated with Medicare policy developments, including CMS Advance and Final Notices, Proposed and Final Rules, and other regulatory and legislative actions affecting Individual and Group Medicare programs.
  • Develop recommendations to avoid financial risk to the organization.
  • Lead completion of actuarial documentation, including reviewing and coordinating actuarial portions of financial reports and tax returns and responses to insurance regulations.
  • Develop and design product line evaluations and new or advanced actuarial models.
  • Assess, analyze, and interpret financial risk and opportunity for presentation to mid-level stakeholders.
  • Provide professional growth and developmental opportunities by soliciting and acting on performance feedback, hiring, training, developing, delegating, setting performance expectations, planning succession, and providing coaching.
  • Manage designated units by translating business plans into tactical actions, communicating goals, overseeing work, making decisions, aligning team efforts, measuring results, incorporating resources and forecasts into plans, removing obstacles, and developing contingency plans.
  • Develop product line evaluations by analyzing financials, pricing, reserves, valuation, cash flow, performance, risk, and product-development assumptions.
  • Design and develop actuarial research methods to advance standards, assumptions, and the legal and regulatory environment.
  • Assess financial risks and opportunities using non-traditional actuarial methods and actuarial judgment.
  • Lead collaboration with business partners by translating complex actuarial concepts into actionable recommendations and providing actuarial and financial advice in compliance with Actuarial Standards of Practice.
  • Create frameworks and assumptions for new, existing, and non-traditional actuarial models.
  • Ensure products and services meet requirements and expectations while aligning with departmental strategies and business objectives.

Desired Qualifications

  • Six years of experience with databases and spreadsheets.
  • A bachelor's degree in statistics, actuarial science, mathematics, engineering, or physics.

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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