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Role Summary

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HIGHLIGHTS

Lead actuarial reporting and data analysis role at a large public health plan in Los Angeles, CA. You will prepare Medi‑Cal rate development templates and regulatory submissions (DHCS, CMS, Covered California), build reports and dashboards, analyze cost and utilization for pricing and forecasting, and lead a small team.

JOB DESCRIPTION SUMMARY

  • Lead actuarial reporting and regulatory submissions for Medi‑Cal and Covered California
  • Analyze healthcare cost and utilization to support pricing and forecasting
  • Prepare Rate Development Templates (RDTs) and Special Data Requests
  • Build reports and dashboards using SQL, SAS, Python/R and BI tools
  • Manage and mentor assigned staff and lead cross‑functional projects

DOMAIN EXPERTISE

  • Medi‑Cal Rate Development Template (RDT) submissions
  • Healthcare cost and utilization analysis
  • Analytical programming with SQL, Oracle, or BI tools

KEY REQUIREMENTS

  • 4+ years of healthcare data analysis experience
  • 3+ years experience with Medi‑Cal Rate Development Template (RDT) submissions
  • 1+ year leading staff, processes, or programs
  • Proficient in SQL, SAS, Python or R and business intelligence tools
  • Familiarity with DHCS/CMS regulatory reporting and compliance

TECH STACK

  • Oracle
  • Other_BI_Tool
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Role Summary

Loading...

HIGHLIGHTS

Lead actuarial reporting and data analysis role at a large public health plan in Los Angeles, CA. You will prepare Medi‑Cal rate development templates and regulatory submissions (DHCS, CMS, Covered California), build reports and dashboards, analyze cost and utilization for pricing and forecasting, and lead a small team.

JOB DESCRIPTION SUMMARY

  • Lead actuarial reporting and regulatory submissions for Medi‑Cal and Covered California
  • Analyze healthcare cost and utilization to support pricing and forecasting
  • Prepare Rate Development Templates (RDTs) and Special Data Requests
  • Build reports and dashboards using SQL, SAS, Python/R and BI tools
  • Manage and mentor assigned staff and lead cross‑functional projects

DOMAIN EXPERTISE

  • Medi‑Cal Rate Development Template (RDT) submissions
  • Healthcare cost and utilization analysis
  • Analytical programming with SQL, Oracle, or BI tools

KEY REQUIREMENTS

  • 4+ years of healthcare data analysis experience
  • 3+ years experience with Medi‑Cal Rate Development Template (RDT) submissions
  • 1+ year leading staff, processes, or programs
  • Proficient in SQL, SAS, Python or R and business intelligence tools
  • Familiarity with DHCS/CMS regulatory reporting and compliance

TECH STACK

  • Oracle
  • Other_BI_Tool

Job Overview

Salary
$89k - $142k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager‑level health actuarial/data professional with 4+ years in healthcare data analysis and 3+ years with Medi‑Cal RDT submissions, strong SQL/SAS/Python skills, and experience leading teams and regulatory reporting.

Benefits

Generous VacationTuition Reimbursement401(k) PlanHealth InsuranceDental InsuranceVision InsuranceWellness ProgramVolunteering Program
Shortlist Forming
Closing Soon
29d
29 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
$89k - $142k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Manager‑level health actuarial/data professional with 4+ years in healthcare data analysis and 3+ years with Medi‑Cal RDT submissions, strong SQL/SAS/Python skills, and experience leading teams and regulatory reporting.

Benefits

Generous VacationTuition Reimbursement401(k) PlanHealth InsuranceDental InsuranceVision InsuranceWellness ProgramVolunteering Program
Shortlist Forming
Closing Soon
29d
29 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."

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