Job Description

Your Role

The Individual Pricing team is responsible for forecasting, ratemaking, financial reporting, product development, and designing pricing strategies to support our Individual line of business. The Senior Actuarial Analyst will report to the Senior Manager of Individual Pricing. In this role, you will be responsible for key forecasting activities, monthly experience and variance reporting, and supporting the development of pricing strategies to achieve both financial and membership growth goals. In addition, you will work alongside a high-performing team and create a lasting impact in making healthcare more accessible and affordable for individual Californians.

Your Work

In this role, you will:

• Understand the core principles and functionality of decision, descriptive, and predictive analytic methods including forecasting, statistical, and machine learning techniques
• Conduct and develop analyses, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluate actuarial risk related analyses 
• Coordinate, prepare, perform and audit actuarial analyses to assist in the development of complex actuarial formulations leading to the recommendation of pricing, trending, reserving, provider reimbursement and/or risk assessment strategies
• Perform data exploration using a combination of statistical programming languages (including, but not limited to R, Python, SQL, SAS) and deploy predictive analytics and machine learning techniques to improve risk prediction, reserves, trend, and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies 
• Develop evaluation and financial reporting standards for internal and external reports
• Prepare monthly experience and variance reporting, and derive insights that enable cost savings initiatives and pricing strategies to achieve financial and membership growth goals
• Support annual rate filing activities and draft actuarial analyses to assist policy advocacy at the state and federal levels
• Communicate and work with cross-functional leadership in Finance and Actuarial

Your Knowledge and Experience

• Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
• Requires a minimum of 3 years of professional actuarial experience
• May have an ASA designation or have completed the majority of the courses towards an ASA designation
• Requires advanced knowledge of the job area obtained through professional experience
• Requires advanced proficiency with Microsoft Excel
• Requires proficiency in SQL, SAS and/or Tableau, and experience with common data science toolkits such as R and Python
• Requires robust critical thinking and analytical skills
• Requires excellent written and verbal communication skills

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