Manager, Medical Economics

Overview

What you can expect! 

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

The Manager of Medical Economics is responsible for driving Medical Economics projects to aid IEHP in managing healthcare costs and improve Medical Loss Ratio (MLR). This position will lead teams of actuarial professionals on project initiatives in addition to direct reports. Responsibilities will include:

• Stand-up processes and analytical tools that monitor financial and utilization metrics in claims experience to support the financial health of IEHP,
• Work with leadership to develop new operating model for Medical Economics,
• Partner with other actuaries to leverage existing tools, and
• Create new tools and enhance current tools.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary.
• Hybrid schedule.
• CalPERS retirement.
• State of the art fitness center on-site.
• Medical Insurance with Dental and Vision.
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development.
• Wellness programs that promote a healthy work-life balance.
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Key Responsibilities

Qualifications

Education & Requirements 

• Eight (8) years of health care experience relevant to actuarial services
• Two (2) years of leadership experience in managing projects and people is required
• Experience in other health plans or healthcare consulting required
• Bachelor’s degree from an accredited institution required
• Two (2) Actuarial Exams completed/passed required
• Experience across all lines of business including Medicaid, Medicare, and Commercial is preferred
• Consulting experience is preferred
• Strong SQL programming experience is preferred
• Associate of the Society of Actuaries (ASA) is preferred
• Fellow of the Society of Actuaries (FSA) is preferred

Key Qualifications

• Comprehensive knowledge in actuarial principles
• Understanding of how to tackle ambiguous open-ended problems with a structured approach
• Medi-Cal, Medicare and Covered CA knowledge is preferred
• Excellent interpersonal and communications skills (both oral & written), project management skills, and organization skills
• The ideal candidate is technical, grounded in sound actuarial principles, and is comfortable presenting complex financial information to executives
• Skilled in developing in-depth presentations for C-Suite Executives
• Proven ability to:
  • Work independently and take initiative
  • Identify and resolve problems
  • Think creatively, strategically, and analytically
  • Love big data and be big picture oriented
  • Apply extensive knowledge of actuarial methods and procedures
  • Be extremely organized, have sharp attention to detail, a strong work ethic, and be an expansive learner
• While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell
• The employee must occasionally lift or move up to 25 pounds
• Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus

Start your journey towards a thriving future with IEHP and apply TODAY!

Work Model Location

Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)

Pay Range

Salary : $74 - $98