Job Opening for Manager, Strategic Decision Support, Actuarial in Inland Empire Health Plans (10801 6th St, Rancho Cucamonga, CA 91730)

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Job Category : Business
Company Name: Inland Empire Health Plans
Position Name: Manager, Strategic Decision Support, Actuarial
Location : 10801 6th St, Rancho Cucamonga, CA 91730
Job Description : Position Summary/Position The Manager of Strategic Decision Support is responsible for managing a team of actuarial analysts that provide actuarial and analytical modeling to executive leadership on enterprise-wide decisions and strategies. The ideal candidate is technical, grounded in sound actuarial principles, big picture oriented, can think strategically, and is comfortable presenting complex financial information to executives. Major Functions (Duties and Responsibilities) 1. Proactively manage project-based work, help define project scope, identify ideal team to execute on work, define and manage timelines. 2. Perform provider contract re-pricing and provider network analytics to support network strategy. 3. Develop scenario models based on healthcare claims data and key clinical/actuarial/business assumptions to solve strategic business problems. 4. Conduct complex claims analyses utilizing IEHP EDW. 5. Navigate ambiguity; create an organized and structured approach to ambiguous projects. 6. Contribute to developing and shaping this new department. 7. Develop actionable recommendations to management relative to all analyses. 8. Perform actuarial research, experience studies and statistical analyses. 9. Perform ad hoc actuarial projects and other duties as assigned or requested. 10. Serve as a SME for these activities. 11. Provide training and guidance to other actuarial associates. Supervisory Responsibilities Leader: Administers Hires, Terminations, and Performance Reviews Experience Qualifications Eight (8) years of actuarial experience with an ASA and health care experience. Two (2) years of managing experience is required. Actuarial experience in healthcare industry is required. Preferred Experience Medicaid experience is preferred. Medi-Cal experience is highly desired. Consulting experience is preferred. Education Qualifications Bachelor’s degree from an accredited institution required. Preferred Education Professional Certification Associate of the Society of Actuaries (ASA) is required; Fellow of the Society of Actuaries (FSA) is preferred. Professional Licenses Drivers License Required No Knowledge Requirement SQL Programming knowledge is preferred. Skills Requirement Excellent interpersonal and communication skills (both oral & written) and organization skills. Abilities Requirement Ability to work independently and take initiative. Ability to identify and resolve problems, think creatively, strategically, and analytically. Ability to apply extensive knowledge of actuarial methods and procedures. Extremely organized, sharp attention to detail, strong work ethic, expansive learner. Commitment to Team Culture The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization. Working Conditions 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. Physical Requirements Keyboarding: Traditional – FREQUENTLY Keyboarding: 10-Key – FREQUENTLY Keyboarding: Touch-Screen – FREQUENTLY Use of computer mouse – FREQUENTLY Hearing: One-on-One – CONSTANTLY Hearing: In a group – CONSTANTLY Hearing: Over the Telephone/Cell Phone – FREQUENTLY Hearing: Conference Speakers/Video Calls/Radio Calls – FREQUENTLY Communicate: Information/ideas verbally – FREQUENTLY Near Visual Acuity – CONSTANTLY Sitting – CONSTANTLY Lighting – CONSTANTLY Regular contacts: co-workers, supervisor – CONSTANTLY Rapid Pace of work – FREQUENTLY Control of work pace – FREQUENTLY Pace of work with faster/slower work periods – FREQUENTLY Memory – FREQUENTLY Regular and reliable attendance – CONSTANTLY Indoors – CONSTANTLY Decision-making – FREQUENTLY Lead/Influence Others – FREQUENTLY Work review – FREQUENTLY Problem Solving – FREQUENTLY Understand and follow direction – FREQUENTLY Starting Salary: $144,976.00 – $184,849.60 Pay rate will commensurate with experience Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region. With a provider network of more than 6,000 and a team of more than 2,000 employees, IEHP provides quality, accessible healthcare services to more than 1.2 million members. And our mission and core values help guide us in the development of innovative programs and the creation of an award winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and Make a Difference with us! IEHP offers a Competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.
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