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Manager, Actuarial Services (Remote) CA Residents Only 25-00517
Manager, Actuarial Services (Remote) CA Residents Only 25-00517Alura Workforce Solutions • Rancho Cucamonga, CA
Manager, Actuarial Services (Remote) CA Residents Only 25-00517

Manager, Actuarial Services (Remote) CA Residents Only 25-00517

Alura Workforce Solutions • Rancho Cucamonga, CA
30+ days ago
Job type
  • Full-time
  • Remote
Job description

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

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Manager, Actuarial Services (Remote) CA Residents Only 25-00517 • Rancho Cucamonga, CA

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