Telecommuting Jobs in Rancho Cucamonga, CA

Job Title
Manager, Actuarial Services
Remote / California Residents Only

Our Client
Our client is a mission-driven, not-for-profit health plan serving more than million residents across Southern California. They maintain a large provider network and focus on accessible, community-centered care with strong programs in prevention, care coordination, behavioral health, and overall member well-being.
The organization is regularly recognized as a top workplace, earning repeated “Best Place to Work” honors and consecutive Great Place to Work certifications. Employees describe a collaborative, supportive culture with strong work–life balance, competitive benefits, and clear opportunities for growth and meaningful impact.

Position Overview
The Manager of Actuarial Services is responsible for managing a team of analysts that provides actuarial support to various departments and company key initiatives. Provide actuarial analysis and proactive recommendations to management on both tactical and strategic nature.

Key Responsibilities

• Perform actuarial research, experience studies and statistical analyses
• Develop actionable recommendations to management relative to all analyses
• Calculate monthly IBNR and reserves
• Provide actuarial support for financial forecasts and monitor financial results
• Perform actuarial analysis to assist with provider contracting effort
• Assist with rate development and perform reviews for data adequacy and actuarial soundness
• Evaluate Government reimbursement processes to determine areas of risk and opportunity
• Oversee health plan experience, identify trends, and recommend improvements
• Develop and maintain documentation and provide data to external agencies like auditors, DOI, DMHC, DHCS, etc.) as needed
• Perform ad hoc actuarial projects and other duties as assigned or requested. Serve as a subject matter expert for these activities
• Provide training and guidance to other actuarial associates
• Perform any other duties as required to ensure Health Plan operations and department business needs are successful

Key Qualifications

• SQL Programming knowledge is preferred
• Excellent interpersonal and communication skills (both oral & written) and
  organization skills
• Ability to work independently and take initiative
• Ability to identify and resolve problems, think creatively, strategically, and analytically
• Ability to apply extensive knowledge of actuarial methods and procedures
• Extremely organized, sharp attention to detail, strong work ethic, expansive learner
• Telecommuting: Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval
• All positions approved for telecommute or hybrid work locations may periodically be required to report to main campus for mandatory in-person meetings or for other business needs as determined by leadership

Education & Requirements

• At least six () years of actuarial experience with the ASA and health care experience
• Actuarial experience in the healthcare industry is required
• Leadership experience required
• Medicaid experience is preferred. Medi-Cal experience is highly desired
• Bachelor’s degree from an accredited institution required
• Associate of the Society of Actuaries (ASA) is required
• Fellow of the Society of Actuaries (FSA) is preferred

Additional Information

• Direct Placement
• Remote/California Residents Only