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Role Summary

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HIGHLIGHTS

This Health actuarial role at CalOptima in Orange, CA, ensures fiscal integrity through financial analysis, IBNR modeling, regulatory filings, and Medicare Advantage bids. Requires ASA certification and 3+ years of health care informatics or actuarial experience. This is a hybrid position with 3 days per week in office.

JOB DESCRIPTION SUMMARY

  • Ensure fiscal integrity of CalOptima Health's programs
  • Develop clinical utilization cost profiles and trends
  • Support regulatory filings and Medicare Advantage bids
  • Perform IBNR modeling and analysis
  • Hybrid role: 3 days in office (Tues-Thurs) in Orange, CA

DOMAIN EXPERTISE

  • Health care informatics or actuarial experience
  • Medicare Advantage bidding and analysis
  • IBNR modeling and reserving
  • State rate development models
  • Regulatory filings and audits

KEY REQUIREMENTS

  • ASA certification required
  • 3+ years health care informatics or actuarial experience
  • Bachelor's degree in related field
  • Proficiency with Microsoft Office (Excel, PowerPoint, Word)
  • Eligible to work within State of California (telework)

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

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HIGHLIGHTS

This Health actuarial role at CalOptima in Orange, CA, ensures fiscal integrity through financial analysis, IBNR modeling, regulatory filings, and Medicare Advantage bids. Requires ASA certification and 3+ years of health care informatics or actuarial experience. This is a hybrid position with 3 days per week in office.

JOB DESCRIPTION SUMMARY

  • Ensure fiscal integrity of CalOptima Health's programs
  • Develop clinical utilization cost profiles and trends
  • Support regulatory filings and Medicare Advantage bids
  • Perform IBNR modeling and analysis
  • Hybrid role: 3 days in office (Tues-Thurs) in Orange, CA

DOMAIN EXPERTISE

  • Health care informatics or actuarial experience
  • Medicare Advantage bidding and analysis
  • IBNR modeling and reserving
  • State rate development models
  • Regulatory filings and audits

KEY REQUIREMENTS

  • ASA certification required
  • 3+ years health care informatics or actuarial experience
  • Bachelor's degree in related field
  • Proficiency with Microsoft Office (Excel, PowerPoint, Word)
  • Eligible to work within State of California (telework)

TECH STACK

  • Excel
  • PowerPoint

Job Overview

Salary
$110k - $176k
Years of Experience
3+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA with 3+ years of health care actuarial or informatics experience, looking to work in a mission-driven health plan. Strong analytical and communication skills needed for IBNR modeling, regulatory filings, and financial analysis.

ASA

Benefits

401(k) PlanTuition ReimbursementProfessional DevelopmentWellness ProgramGenerous VacationFlexible Hours
Shortlist Forming
Closing Soon
21d
21 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$110k - $176k
Years of Experience
3+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA with 3+ years of health care actuarial or informatics experience, looking to work in a mission-driven health plan. Strong analytical and communication skills needed for IBNR modeling, regulatory filings, and financial analysis.

ASA

Benefits

401(k) PlanTuition ReimbursementProfessional DevelopmentWellness ProgramGenerous VacationFlexible Hours
Shortlist Forming
Closing Soon
21d
21 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Actuary

CalOptima

Health/Insurer/IC Level
CalOptima

Actuary

CalOptima
Orange, California, United States•3w ago
HybridMedicare AdvantageMedicaid

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