About this opportunity
Kaiser Permanente lists this Actuarial Analyst V - Network Pricing experience opportunity in pasadena, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
The Network Pricing Actuary is part of the growing Network Pricing team, which partners with the national and local market Provider Contracting teams to ensure our contract negotiations, network strategy, and understanding of our network performance are informed by reliable data and modeling. This role serves as the regional lead, responsible for work including: coordinating and presenting analyses to influence our negotiation strategy for major deals; coordinating and performing modeling to support major negotiations; facilitating market network performance management forums, bringing insights into network performance drivers and opportunities, and driving accountability; and partnering with the provider contracting and delivery system teams to develop the network strategy. This is a leadership level role that will engage regularly with the VPs of provider contracting, the market CFOs, and the regional health plan SVP. While not having any direct reports, this role will partner closely with the network pricing analysts in the team, delegating analysis and providing guidance and coaching. The work will require knowledge and experience of provider contracting, network strategy, and how they impact unit cost trends and product & network financial performance.
Job Summary:
This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, aligning actuarial documentation with financial reports and tax returns, developing and designing product line evaluations and actuarial models, and assessing, analyzing, and interpreting financial risk and opportunity.
Essential Responsibilities:
Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and develop weaknesses; and adapting to and learning from change, difficulties, and feedback.
Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and evaluating recommendations made by others.
Completes actuarial documentation by reviewing and coordinating the actuarial portion of financial reports and tax returns, and responses to insurance regulations; and presenting results internally to mid-level leadership.
Develops and designs product line evaluations by interpreting and communicating findings of analysis of product line financials, reserve, valuation , cash flow analysis; and interpreting product line performance, risk, and assumptions used in product development.
Designs and develops actuarial research by designing complex methods to advance standards, assumptions, and the legal and regulatory environment.
Assesses, analyzes and interprets financial risks and opportunities by using non-traditional actuarial methods and actuarial judgment when conducting actuarial analyses.
Leads collaboration with business partners by translating complex actuarial constructs into actionable recommendations; and developing and formulating accurate actuarial and financial advice in compliance with the Actuarial Standards of Practice.
Creates framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs.
Knowledge, Skills and Abilities: (Core)
Ambiguity/Uncertainty Management
Attention to Detail
Business Knowledge
Communication
Critical Thinking
Cross-Group Collaboration
Decision Making
Dependability
Diversity, Equity, and Inclusion Support
Drives Results
Facilitation Skills
Health Care Industry
Influencing Others
Integrity
Learning Agility
Organizational Savvy
Problem Solving
Short- and Long-term Learning & Recall
Teamwork
Topic-Specific Communication
Knowledge, Skills and Abilities: (Functional)
Analytical Skills
Client Focus
Debugging and Troubleshooting
Demonstrating Personal Flexibility
Economics
Getting Work Done Through Others
Initiative
Maintain Files and Records
Managing Diverse Relationships
Mathematics
Negotiation
Organizational Skills
Project Management
Statistical Programming Language
Stress Tolerance
Technical Communication
Trust
Minimum Qualifications:
Bachelors degree in mathematics or related field AND Minimum eight (8) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries Certificate
Preferred Qualifications:
Two (2) years experience in a leadership role with or without direct reports.
Six (6) years experience with databases and spreadsheets.
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Worksite address
pasadena, CA, 91122, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.