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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role at L.A. Care Health Plan in Los Angeles. You will lead actuarial services including monthly financial reporting, regulatory filings (DHCS/CMS/Covered CA), risk adjustment model oversight, and staff management. Role requires strong experience in managed care, risk adjustment, and financial projections.

JOB DESCRIPTION SUMMARY

  • Manage monthly financial reporting and actuarial analyses for a large health plan
  • Oversee risk adjustment models (e.g., CMS-HCC, RxHCC, CDPS+Rx) and risk-score analysis
  • Lead a team of actuarial staff; hiring, coaching, performance management
  • Support regulatory filings to DHCS, CMS, and Covered CA
  • Role based in Los Angeles; requires 7+ years in health actuarial and management experience

DOMAIN EXPERTISE

  • Actuarial experience in health insurance or managed care
  • Four or more years of supervisory or management experience
  • Experience with risk adjustment models and provider payment methodologies
  • Thorough understanding of health care cost structures and capitation/shared risk arrangements

KEY REQUIREMENTS

  • At least 7 years of actuarial experience in health insurance or managed care
  • At least 4 years of supervisory or management experience
  • ASA and MAAA or at least 4 associate exams passed required
  • Proficiency with SQL, SAS, R, Python or Power BI and advanced Excel modeling
  • Experience with risk adjustment models and provider payment methodologies

TECH STACK

  • Power_BI
  • Excel
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Manager-level health actuarial role at L.A. Care Health Plan in Los Angeles. You will lead actuarial services including monthly financial reporting, regulatory filings (DHCS/CMS/Covered CA), risk adjustment model oversight, and staff management. Role requires strong experience in managed care, risk adjustment, and financial projections.

JOB DESCRIPTION SUMMARY

  • Manage monthly financial reporting and actuarial analyses for a large health plan
  • Oversee risk adjustment models (e.g., CMS-HCC, RxHCC, CDPS+Rx) and risk-score analysis
  • Lead a team of actuarial staff; hiring, coaching, performance management
  • Support regulatory filings to DHCS, CMS, and Covered CA
  • Role based in Los Angeles; requires 7+ years in health actuarial and management experience

DOMAIN EXPERTISE

  • Actuarial experience in health insurance or managed care
  • Four or more years of supervisory or management experience
  • Experience with risk adjustment models and provider payment methodologies
  • Thorough understanding of health care cost structures and capitation/shared risk arrangements

KEY REQUIREMENTS

  • At least 7 years of actuarial experience in health insurance or managed care
  • At least 4 years of supervisory or management experience
  • ASA and MAAA or at least 4 associate exams passed required
  • Proficiency with SQL, SAS, R, Python or Power BI and advanced Excel modeling
  • Experience with risk adjustment models and provider payment methodologies

TECH STACK

  • Power_BI
  • Excel
  • PowerPoint

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Job Overview

Salary
$135k - $216k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced health actuarial manager (Manager level) with 7+ years in managed care or health plans, ASA or 4+ exams, strong leadership skills and hands-on experience with risk adjustment models and SQL/SAS/R/Python.

ASAStudent

Benefits

Generous VacationTuition Reimbursement401(k) PlanHealth InsuranceDental InsuranceVision InsuranceWellness ProgramVolunteering Program
Active Screening
Standard Review
14d
14 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

Salary
$135k - $216k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced health actuarial manager (Manager level) with 7+ years in managed care or health plans, ASA or 4+ exams, strong leadership skills and hands-on experience with risk adjustment models and SQL/SAS/R/Python.

ASAStudent

Benefits

Generous VacationTuition Reimbursement401(k) PlanHealth InsuranceDental InsuranceVision InsuranceWellness ProgramVolunteering Program
Active Screening
Standard Review
14d
14 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Health/Insurer/Manager Level
L.A. Care Health Plan

Manager, Actuarial Services

L.A. Care Health Plan•Los Angeles, United States•2w ago
Medicare AdvantageMedicaidCommercial Employer HealthRegulatory ReportingRisk Management, ERM & ORSABusiness Intelligence & Reporting