Director, Actuarial Services (Director IV)
OnsiteMedicaidReserving & ValuationPricing & RatingBusiness Intelligence & Reporting
Role Summary
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Director-level health actuarial role at a California public health plan. You will lead Actuarial Services within the Financial Analysis team, owning IBNR reserving, Medi‑Cal rate development, capitation pricing and risk-adjustment processes. The role is full-time, full-office in California and requires leadership of a team and interaction with senior finance leadership.
JOB DESCRIPTION SUMMARY
- Lead Actuarial Services and manage a team within the Financial Analysis function
- Own IBNR reserving, Medi‑Cal rate development (RDT) and provider capitation pricing
- Direct CDPS risk adjustment and develop actuarial studies and analytic tools
- Build and maintain dashboards/report suites for senior management
- Full‑office California role; ASA required and FSA preferred
DOMAIN EXPERTISE
- health plan actuarial experience
- IBNR reserving for health lines
- Medi‑Cal rate development (RDT)
- provider capitation rate development
- CDPS risk adjustment process
KEY REQUIREMENTS
- Bachelor's degree plus 7+ years actuarial/analytics experience in health care
- 3+ years finance leadership at a health plan with direct supervisory responsibility
- Associate of the Society of Actuaries (ASA) required
- Proven experience producing IBNR reserve estimates and Medi‑Cal rate development
- Ability to design dashboards and analytics (Tableau or Power BI experience noted)
TECH STACK
- Excel
- Power_BI
- Tableau
- PowerPoint