Top 13 Healthcare actuary Jobs in California

Actuary III
Sutter Health —Sacramento, CA
- $129,188.80 - $193,793.60 a year
- Weekends as needed
- Writing skills
- Office
- 8 years
Actuarial Analyst - Health Plan
SCAN Health Plan —Long Beach, CA
- $70,000 - $80,000 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Analyst, Healthcare Financial Analytics (Actuarial Track)
COPE Health Solutions —Los Angeles, CA
- $80,600 - $102,500 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Finance
- Paid parental leave
- Parental leave
Actuary, Sutter Health Plan
Sutter Health —Sacramento, CA
- $101,004 - $189,384 a year
- Weekends as needed
- 5 years
- Office
- SQL
Healthcare Financial/Actuarial Manager
WTW —Irvine, CA
- $90,000 - $130,000 a year
- Full-time
- Microsoft Excel
- 5 years
- Analysis skills
- Paid jury duty
- Health savings account
Actuarial Services Supervisor
Western Health Advantage —Sacramento, CA
- $120,000 - $140,000 a year
- Full-time
- 5 years
- Finance
- Analysis skills
Quick Apply
Senior Actuarial Analyst
Altais Health Solutions —Oakland, CA
- $107,250 - $128,700 a year
- Full-time
- Background check
- Customer service
- 5 years
- Paid holidays
- Health insurance
Quick Apply
Healthcare Financial/Actuarial Senior Director
WTW —Irvine, CA
- Full-time
- Microsoft Excel
- Organizational skills
- Fair chance
- Paid jury duty
- Health savings account

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Lead Director, Actuarial Cred – Medicaid
CVS Health —Columbus, OH
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
$144,200 - $288,400 a year
Healthcare Financial/Actuarial Director
WTW —Columbus, OH
State Life and Health license required within 90 days of joining. Reviews technical & consulting accuracy on client projects, including developing pricing and…
$115,000 - $160,000 a year
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Actuary III

Sutter Health -
Sacramento, CA

Apply Now

Job Details

Full-time
$129,188.80 - $193,793.60 a year

Qualifications

Stakeholder relationship building
Stakeholder management

Full Job Description

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

Participates in all facets of financial model design, including reserving, rate development, and actuarial data mart development. Provides guidance on a range of topics such as utilization, product pricing including benefit design, premium revenue, and trend forecasting. Monitors and reports on the performance of Commercial business line. Participates as a key financial expert on Sutter Health's customer-facing negotiation team. Partners with information services (IS) to ensure data integrity and integration of the health rules platform and the data warehouse for a scalable, configurable and verifiable data pipeline for healthcare analytics.

Job Description:

EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.

Bachelor's in Actuarial Science, Economics, Mathematics or related field

TYPICAL EXPERIENCE:

8 years recent relevant experience

SKILLS AND KNOWLEDGE:

Expertise in Commercial pricing, underwriting, statistical modeling, analytics, networks, forecasting and reserve systems, including expert knowledge of the applicable
Actuarial Standards of Practice (ASoP) issued by Actuarial Standards Board (ASB), generally accepted accounting principles (GAAP) and internal/statutory financial reporting regulations.
Extensive knowledge of core health actuarial processes including pricing, valuation, and budgeting/forecasting with a demonstrated knowledge of the capitated delegated model and capitation terms including division of responsibility.
Thorough knowledge of healthcare delivery systems, integrated delivery systems and medical group practices, especially in a managed care environment, as well as an advanced understanding of key government programs ((Medicare/Medicaid) and market segments (individual, small group, etc.).
In-depth knowledge of premium rate and benefit pricing methodologies, including a working understanding of health care cost structures (fee schedules, actuarial cost categories, and health care utilization codes).
Advanced knowledge of key operational functions of a health plan, including expert knowledge of key dimensions of health plan data: Claims, Enrollment, and Revenue.
Superior business acumen, exceptional analytical and advanced project management skills, with the proven ability to provide innovative solutions to complex problems, reach practical conclusions, and institute effective changes.
Possess written and verbal communications skills to explain complex health plan regulations and technical information clearly and professionally to diverse audiences.
Proficiency in a range of actuarial and statistical software packages (e.g., MG-ALFA, SAS) and analytical software (e.g., MedeAnalytics, SAP Crystal Business Intelligence (BI).
Analyze issues, predict downstream effects, and effectively prevent or resolve problems.
Work independently as well as be part of an interdisciplinary team, while demonstrating exceptional attention to detail and organizational skills.
Prioritize and delegate assignments under varied and urgent conditions and work based on experience, procedures, policies, and best practices to achieve objectives and meet deadlines.
Lead others to solve complex problems using sophisticated analytics to identify innovative solutions.
Influence individuals or groups with diverse opinions and to enlist cooperation without direct control/authority.
Ensure the privacy of each patient’s protected health information (phi).
Build collaborative relationships with peers, other departments, stakeholders, management, and vendors to provide cost-effective healthcare to patients and our health plan members when, where, and how they want it.
Member, American Academy of Actuaries (MAAA)
Associate (ASA) or Fellow (FSA) of the Society of Actuaries

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

Position Status:

Exempt

Weekly Hours:

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $129,188.80 to $193,793.60 / annual salary

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Apply Now

Refine Your Search

healthcare actuary jobs in california

Actuary III

Actuarial Analyst - Health Plan

Analyst, Healthcare Financial Analytics (Actuarial Track)

Actuary, Sutter Health Plan

Healthcare Financial/Actuarial Manager

Actuarial Services Supervisor

Senior Actuarial Analyst

Healthcare Financial/Actuarial Senior Director

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