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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role at L.A. Care focusing on Commercial and Medicare lines. You’ll oversee monthly financial reporting, regulatory filings (DHCS/CMS/Covered CA), and risk-adjustment modelling while managing a team in Los Angeles, CA.

JOB DESCRIPTION SUMMARY

  • Manage monthly financial reporting, analyses, and actuarial documentation
  • Oversee risk-adjustment models and shared-risk settlement estimates
  • Review DHCS, CMS, and Covered CA rates and at-risk payment agreements
  • Hire, supervise, coach, and develop actuarial staff
  • Lead complex projects and coordinate cross-functional stakeholders

DOMAIN EXPERTISE

  • Actuarial experience in health insurance or managed care
  • Supervisory or management experience leading actuarial staff
  • Risk adjustment modelling (CDPS+Rx, CMS-HCC, RxHCC)
  • Experience with Medicare Advantage, Commercial, or Medicaid

KEY REQUIREMENTS

  • 7+ years actuarial experience in health insurance or managed care
  • 4+ years of supervisory or management experience
  • ASA and MAAA or at least 4 Associate exams passed
  • Experience with risk adjustment models (CDPS+Rx, CMS-HCC, RxHCC)
  • Proficient with SQL, SAS, R, Python and advanced Excel; Power BI

TECH STACK

  • Excel
  • Power_BI
  • SAS_Enterprise_Guide
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Manager-level health actuarial role at L.A. Care focusing on Commercial and Medicare lines. You’ll oversee monthly financial reporting, regulatory filings (DHCS/CMS/Covered CA), and risk-adjustment modelling while managing a team in Los Angeles, CA.

JOB DESCRIPTION SUMMARY

  • Manage monthly financial reporting, analyses, and actuarial documentation
  • Oversee risk-adjustment models and shared-risk settlement estimates
  • Review DHCS, CMS, and Covered CA rates and at-risk payment agreements
  • Hire, supervise, coach, and develop actuarial staff
  • Lead complex projects and coordinate cross-functional stakeholders

DOMAIN EXPERTISE

  • Actuarial experience in health insurance or managed care
  • Supervisory or management experience leading actuarial staff
  • Risk adjustment modelling (CDPS+Rx, CMS-HCC, RxHCC)
  • Experience with Medicare Advantage, Commercial, or Medicaid

KEY REQUIREMENTS

  • 7+ years actuarial experience in health insurance or managed care
  • 4+ years of supervisory or management experience
  • ASA and MAAA or at least 4 Associate exams passed
  • Experience with risk adjustment models (CDPS+Rx, CMS-HCC, RxHCC)
  • Proficient with SQL, SAS, R, Python and advanced Excel; Power BI

TECH STACK

  • Excel
  • Power_BI
  • SAS_Enterprise_Guide
  • PowerPoint

Job Overview

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

Ideal Candidate Profile

Ideal for a Manager-level health actuary with 7+ years in managed care or Medicare Advantage, ASA (or 4+ exams), strong risk-adjustment modelling experience, and proficiency in SQL/SAS/R/Python plus proven people leadership.

ASAStudent

Benefits

Generous VacationTuition Reimbursement401(k) PlanHealth InsuranceDental InsuranceVision InsuranceWellness ProgramVolunteering Program
Shortlist Forming
Closing Soon
192d
192 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
$135k - $216k
Years of Experience
7+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for a Manager-level health actuary with 7+ years in managed care or Medicare Advantage, ASA (or 4+ exams), strong risk-adjustment modelling experience, and proficiency in SQL/SAS/R/Python plus proven people leadership.

ASAStudent

Benefits

Generous VacationTuition Reimbursement401(k) PlanHealth InsuranceDental InsuranceVision InsuranceWellness ProgramVolunteering Program
Shortlist Forming
Closing Soon
192d
192 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."

Manager, Actuarial Services (Commercial, Medicare)

L.A. Care Health Plan

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

Manager, Actuarial Services (Commercial, Medicare)

L.A. Care Health Plan
Los Angeles, United States•6mo ago
Medicare AdvantageCommercial Employer HealthMedicaid

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