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Actuarial Analyst

CalOptima HealthUnited States2mo ago
HybridMedicaidReserving & ValuationPricing & RatingBusiness Intelligence & Reporting

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Role Summary

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HIGHLIGHTS

Entry-level health actuarial analyst supporting a health plan Financial Analysis team in Orange, CA. You will assist with monthly IBNR reserve estimates, semi-annual CDPS risk score calculations, and annual rate development templates, plus claims data reconciliations. Role is partial-telework within California with in-office attendance three days a week and the first week of each month in-office daily.

JOB DESCRIPTION SUMMARY

  • Support monthly IBNR reserve estimation and reporting
  • Assist with semi-annual CDPS risk score and capitation rate impact
  • Reconcile claims (Facets reports) with the data warehouse
  • Partial telework in California; in-office Tue/Wed/Thu and first week each month
  • Entry-level role requiring 1+ year spreadsheet and database experience

DOMAIN EXPERTISE

  • Experience with spreadsheets and databases

KEY REQUIREMENTS

  • Bachelor's degree in actuarial science, math, finance, or related field required
  • Minimum 1 year experience with spreadsheets and databases required
  • Ability to work in Orange, CA office and accept required in-office schedule
  • Must be able to work within the State of California if telework is approved

TECH STACK

  • Excel
  • PowerPoint