Actuary I (Medicare)

　　Job Category: Accounting/Finance

　　Department: Actuarial Services

　　Location:

　　Los Angeles, CA, US, 90017

　　Position Type: Full Time

　　Requisition ID: 10617

　　Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)

　　Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

　　Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

　　Job Summary

　　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.

　　Duties

　　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.

　　Duties Continued

　　Education Required

　　Bachelor's Degree in Mathematics or Related Field

　　In lieu of degree, equivalent education and/or experience may be considered.

　　Education Preferred

　　Experience

　　Required:

　　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.

　　Skills

　　Required:

　　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.

　　Preferred:

　　Medicare Advantage and/or D-SNP experience

　　Licenses/Certifications Required

　　Associate of the Society of Actuaries (ASA)

　　Licenses/Certifications Preferred

　　Required Training

　　Physical Requirements

　　Light

　　Additional Information

　　Professional Membership requirements:

　　Attainment of Associateship in the Society of Actuaries (ASA) and Membership in the American Academy of Actuaries (MAAA).

　　Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

　　L.A. Care offers a wide range of benefits including

　　Paid Time Off (PTO)

　　Tuition Reimbursement

　　Retirement Plans

　　Medical, Dental and Vision

　　Wellness Program

　　Volunteer Time Off (VTO)