logo

View all jobs

Actuary I – REMOTE (must reside in California) - (LA8778)

Los Angeles, CA · Accounting/Finance
Job Title:  Actuary I – REMOTE (must reside in California) - (LA8778)
Location: Los Angeles, CA. (REMOTE)
Employment Type:  Contract
Business Unit: Actuarial Services
Posting Date: 01/19/2023
Notes: Only qualified candidates need apply.


3 Key Consulting is hiring an Actuary 1 for a consulting engagement with our direct client, a leading government funded managed care organization.

Job Description:
TheActuary I will report to the Director of Actuarial Services. This position will help make estimates for the monthly Financial Statements including, but not limited to, revenue projections and reserves for Incurred But Not Paid claims. Additionally, this position will assist in providing financial contracting guidelines to the Provider Network Management department.

The Actuary I will also routinely participate in the data collection and reporting for the Rate Development Template and other Supplemental Data Requests for the Department of Health Care Services. Furthermore, this position will provide ad hoc financial analyses to external departments for new programs and projects. This Position will provide guidance and mentoring to Actuarial Analysts in the Actuarial department.

Top Must-Have Skill Sets:
  • At least 5 five to 7 seven years of experience under the supervision of a credentialed (MAAA) Actuary; or, Four years of experience under the supervision of a credentialed (MAAA) Actuary plus successful completion of either one Fellowship Exam or 3 FSA Modules.
  • Fellowship Exams and FSA modules are administered by the Society of Actuaries.
  • Understanding of financial concepts.
  • Able to create and manage Excel spreadsheets without direction and supervision.
  • Effective oral, written and interpersonal communication skills.
  • The level of analysis and results should be more complex and well above the Actuarial Analyst III position.

Day to Day Responsibilities:
  • Review premium rates from DHCS and assist in rate negotiations.
  • Support in monthly financial reporting by setting claims incurred but not paid reserves and other financial estimates.
  • Certify actuarial estimates for regulators and third parties including DMHC, DHCS, CMS and Covered California.
  • Analyze data for ad hoc needs including deep data dives and analyses of scenarios for new programs.
  • Assist Provider Network Management and Legal departments in financial aspects of contract negotiations and amendments.
  • Project revenue and cost of health care for the routine budgets and forecasts as well as ad hoc analyses.
  • Collaborate with other departments in work groups for key initiatives and projects.
  • Present analyses and recommendations to stakeholders, including senior management.
  • Perform other duties as assigned.

Basic Qualifications:
  • Bachelor's Degree in Mathematics or Related Field
  • In lieu of degree, equivalent education and/or experience may be considered.
  • At least 5 five to 7 seven years of experience under the supervision of a credentialed (MAAA) Actuary and have Medical/Medicare benefit experience.
  • Attainment of Associateship in the Society of Actuaries (ASA) and Membership in the American Academy of Actuaries (MAAA).

We invite qualified candidates to send your resume to resumes@3keyconsulting.com.  If you decide that you’re not interested in pursuing this particular position, please feel free to take a look at the other positions on our website www.3keyconsulting.com/careers. You are also welcome to share this opportunity with anyone you think might be interested in applying for this role.
 
 
Regards,
 
3KC Talent Acquisition Team
 
 

Share This Job

Powered by