Job Description
Job Summary: This position is remote; however candidates must reside within the States that we operate in, which include California, Colorado, Georgia, Hawaii, Illinois, Maryland, Oregon, Washington and Virginia.
This individual contributor is part of the Analytics Insights Team, sitting within KP's Markets Outside California Health Plan Analytics Team (an 80-strong group covering a broad array of analytics from care continuum performance to network optimization). The Analytic Insights team is a small group of senior consultants tasked with connecting each market's financial performance with its strategies (spanning care delivery operations, network management, product strategy. As a member of this team, this person will work closely with senior consultants to facilitate analyses, provide technical support, and assisting in communicating insights, apply their understanding of healthcare economics and health plan functions, technical analytical skills, comfort pulling and analyzing large datasets, collaborative mindset with the desire to develop analytic and consultative skills.
We are a growing team delivering new analytical capabilities and engaging with senior leaders who are excited by the work. The Analytics Insights team is a diverse and high-performing group with experience from different parts of KP, and from non-KP health plans and delivery systems. This role provides an excellent opportunity for individuals who are passionate about analytics and seeking to develop their skills in a supportive and dynamic team environment. We welcome candidates who are eager to contribute to our mission of driving strategic insights to improve healthcare strategy.
Essential Responsibilities: - Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and develop weaknesses; and adapting to and learning from change, difficulties, and feedback.
- Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and evaluating recommendations made by others.
- Completes actuarial documentation by reviewing and coordinating the actuarial portion of financial reports and tax returns, and responses to insurance regulations; and presenting results internally to mid-level leadership.
- Develops and designs product line evaluations by interpreting and communicating findings of analysis of product line financials, reserve, valuation , cash flow analysis; and interpreting product line performance, risk, and assumptions used in product development.
- Designs and develops actuarial research by designing complex methods to advance standards, assumptions, and the legal and regulatory environment.
- Assesses, analyzes and interprets financial risks and opportunities by using non-traditional actuarial methods and actuarial judgment when conducting actuarial analyses.
- Leads collaboration with business partners by translating complex actuarial constructs into actionable recommendations; and developing and formulating accurate actuarial and financial advice in compliance with the Actuarial Standards of Practice.
- Creates framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs.
Minimum Qualifications: - Bachelors degree in mathematics or related field AND Minimum eight (8) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
- Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries Certificate
Additional Requirements: Preferred Qualifications: - Two years power bi visualization and dashboard development experience.
- Two years healthcare claims experience, including familiarity with claims processing systems and analyzing data
Primary Location: California,Pasadena,East Annex - Parsons
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Remote
Employee Status: Regular
Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Po/Ho Corp - MOC HealthPlan Analytics - 0308
Pay Range: $150000 - $194040 / year
Travel: No Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status. Kaiser Permanente
Job Tags
Full time, Work experience placement, Shift work,