Actuarial Analyst VI Commercial Risk Adjustment

The Actuarial Analyst VI Commercial Risk Adjustment will be instrumental in running and understanding how to interpret the results of the various commercial risk adjusting models being employed, as well as represent, discuss Kaiser Permanente's interests when talking to external large group customers/consultants/brokers.  

Responsible for researching and determining the likelihood of financial risk to the organization, leading the completion of actuarial documentation, developing and designing product line evaluations and new or advanced actuarial models, and assessing, analyzing, and interpreting financial risk and opportunity for presentation to senior stakeholders.

• Practices self-leadership and promotes learning in others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; communicating information and providing advice to drive projects forward; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership; influencing, mentoring, and coaching team members; fostering open dialogue amongst team members; evaluating and responding to the strengths and weaknesses of self and unit members; and adapting to and learning from change, difficulties, and feedback.
• Drives the execution of multiple work streams by identifying customer and operational needs; developing and updating new procedures and policies; gaining cross-functional support for objectives and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; solving highly complex issues; and influencing the completion of project tasks by others.
• Leads actuarial documentation and reporting by coordinating the completion of the actuarial portion of financial reports and tax returns, and responses to insurance regulations; and presenting results internally and externally to senior leadership.
• Leads product line evaluations by coordinating analysis of product line financials, pricing, reserve, valuation , cash flow analysis, and product investment strategy; and making recommendations based on product line performance, risk, and assumptions used in product development.
• Furthers actuarial research by identifying the needs and implementing complex methods to advance the actuarial techniques, standards, assumptions, and the legal and regulatory environment.
• Monitors financial risks and opportunities by developing advanced and non-traditional actuarial methods; and leveraging industry knowledge to conduct and determine actuarial analyses.
• Influences senior business partners by translating complex actuarial constructs into actionable recommendations; and initiating actuarial and financial advice in compliance with the Actuarial Standards of Practice.
• Identifies needs and provides guidance on how to build framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs.

Qualifications:

• Bachelors degree in mathematics or related field AND Minimum ten (10) years actuarial  experience.  Additional equivalent work experience in a directly related field may be substituted for the degree requirement.

• Associate of the Society of Actuaries Certificate OR Associate of the Casualty Actuarial Society Certificate

• Commercial risk adjustment experience. 
• Experience running and understanding how to interpret the results of the various commercial risk adjusting models being employed.
• Comfortable representing and discussing company interests when talking to external large group customers/consultants/brokers.

Salary : $171,800 - $222,310