Medicaid Director - Actuarial Services
Kaiser Permanente, Oakland, California, United States, 94616
Job Summary
This managing level employee is primarily responsible for providing guidance and recommendations on researching and determining financial risk to the organization, leading the completion of actuarial documentation and reporting efforts, leading product line evaluations, identifying and implementing complex actuarial models and methods, and monitoring, analyzing, and interpreting financial risk and opportunity to influence senior business partners and stakeholders. Essential Responsibilities
Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating teams; preparing individuals for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business needs. Oversees the operation of multiple units and/or departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; gaining cross-functional support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; and ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies. Leads actuarial documentation and reporting by coordinating the completion of the actuarial portion of financial reports and tax returns, and responses to insurance regulations; determining report needs; and presenting results internally and externally to senior leadership. Leads product line evaluations by coordinating analysis of product line financials, pricing, reserve, valuation, cash flow analysis, and product investment strategy; and making recommendations based on product line performance, risk, and assumptions used in product development; and coaches and develops staff while ensuring business needs or requirements are met. Furthers actuarial research by identifying the needs and implementing complex methods to advance the actuarial techniques, standards, assumptions, and the legal and regulatory environment; and ensuring staff completes activities. Monitors financial risks and opportunities by developing advanced and non-traditional actuarial methods; and leveraging industry knowledge to conduct and determine actuarial analyses; and coaches and develops staff while ensuring business needs or requirements are met. Influences senior business partners by translating complex actuarial constructs into actionable recommendations; and initiating actuarial and financial advice in compliance with the Actuarial Standards of Practice; and coaches and develops staff while ensuring business needs or requirements are met. Identifies needs and provides guidance on how to build framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs; and coaches and develops staff while ensuring business needs or requirements are met. Knowledge, Skills and Abilities: (Core)
Ambiguity/Uncertainty Management Attention to Detail Business Knowledge Communication Constructive Feedback Critical Thinking Cross-Group Collaboration Decision Making Dependability Diversity, Equity, and Inclusion Support Drives Results Facilitation Skills Health Care Industry Influencing Others Integrity Leadership Learning Agility Organizational Savvy Problem Solving Short- and Long-term Learning & Recall Strategic Thinking Team Building 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
Minimum three (3) years supervisory experience Bachelors degree in mathematics or related field AND Minimum ten (10) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement. Associate of the Society of Actuaries Certificate OR Associate of the Casualty Actuarial Society Certificate Preferred Qualifications
Six (6) years experience with databases and spreadsheets. Bachelor's degree in statistics, actuarial science, mathematics , engineering, or physics.
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This managing level employee is primarily responsible for providing guidance and recommendations on researching and determining financial risk to the organization, leading the completion of actuarial documentation and reporting efforts, leading product line evaluations, identifying and implementing complex actuarial models and methods, and monitoring, analyzing, and interpreting financial risk and opportunity to influence senior business partners and stakeholders. Essential Responsibilities
Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating teams; preparing individuals for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business needs. Oversees the operation of multiple units and/or departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; gaining cross-functional support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; and ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies. Leads actuarial documentation and reporting by coordinating the completion of the actuarial portion of financial reports and tax returns, and responses to insurance regulations; determining report needs; and presenting results internally and externally to senior leadership. Leads product line evaluations by coordinating analysis of product line financials, pricing, reserve, valuation, cash flow analysis, and product investment strategy; and making recommendations based on product line performance, risk, and assumptions used in product development; and coaches and develops staff while ensuring business needs or requirements are met. Furthers actuarial research by identifying the needs and implementing complex methods to advance the actuarial techniques, standards, assumptions, and the legal and regulatory environment; and ensuring staff completes activities. Monitors financial risks and opportunities by developing advanced and non-traditional actuarial methods; and leveraging industry knowledge to conduct and determine actuarial analyses; and coaches and develops staff while ensuring business needs or requirements are met. Influences senior business partners by translating complex actuarial constructs into actionable recommendations; and initiating actuarial and financial advice in compliance with the Actuarial Standards of Practice; and coaches and develops staff while ensuring business needs or requirements are met. Identifies needs and provides guidance on how to build framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs; and coaches and develops staff while ensuring business needs or requirements are met. Knowledge, Skills and Abilities: (Core)
Ambiguity/Uncertainty Management Attention to Detail Business Knowledge Communication Constructive Feedback Critical Thinking Cross-Group Collaboration Decision Making Dependability Diversity, Equity, and Inclusion Support Drives Results Facilitation Skills Health Care Industry Influencing Others Integrity Leadership Learning Agility Organizational Savvy Problem Solving Short- and Long-term Learning & Recall Strategic Thinking Team Building 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
Minimum three (3) years supervisory experience Bachelors degree in mathematics or related field AND Minimum ten (10) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement. Associate of the Society of Actuaries Certificate OR Associate of the Casualty Actuarial Society Certificate Preferred Qualifications
Six (6) years experience with databases and spreadsheets. Bachelor's degree in statistics, actuarial science, mathematics , engineering, or physics.
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