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Actuary CalOptima CalOptima Health is seeking a highly motivated an experienced Actuary to join our team. The Actuary will ensure the fiscal integrity of CalOptima Health's program and policy decisions and facilitate executive decision making by providing timely and accurate actuarial and financial analyses. The incumbent will be responsible for the ongoing financial planning and analysis needs of the organization, including the review and analysis of revenue, medical costs and their underlying trends. Position Information: Department: Financial Analysis Salary Grade: 315 - $109,892 - $175,827 ($52.83 - $84.5322) Work Arrangement: Partial Telework **This position is eligible for telework in California.** Duties & Responsibilities: 80% - Financial Analysis Support Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Develops clinical utilization, cost profiles and other indicators for all areas of medical costs, including but not limited to CalOptima Health Direct, pharmacy and skilled nursing facilities. Completes analysis to support regulatory filings, including state rate development models and Medicare Advantage bids. Supports operating budget development and monthly reporting analysis. Responsible for incurred but not reported reserves (IBNR) modeling and analysis. Advises management of significant changes or unusual trends in medical costs and proposes recommendations for management consideration. Supports activities related to regulatory and financial audits and findings. Assists with the development of appropriate reimbursement rates and other financial contract provisions for CalOptima Health with the state of California. Assists in evaluation of decision support and analysis tools, as well as improvements to the data warehouse. Supports management with budgeting and forecasting duties. 15% - Administrative Support Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Provides direction and guidance to Financial Analysis staff in accordance with established departmental and organizational policies. Serves as primary liaison with external actuarial services and support. 5% - Completes other projects and duties as assigned. Minimum Qualifications: Bachelor's degree in health care economics/planning, business, mathematics or related field required. 3 years of health care informatics or actuarial experience required. An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. Preferred Qualifications: Master's degree in health care economics/planning, business, mathematics or related field required. Required Licensure / Certifications: Associate of the Society of Actuaries (ASA) certification required. Knowledge & Abilities: Develop rapport and establish and maintain effective working relationships with CalOptima Health's leadership and staff and external contacts at all levels and with diverse backgrounds. Work independently and exercise sound judgment. Communicate clearly and concisely, both orally and in writing. Work a flexible schedule; available to participate in evening and weekend events. Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner. Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions. Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Physical Requirements (With or Without Accommodations): Ability to visually read information from computer screens, forms and other printed materials and information. Ability to speak (enunciate) clearly in conversation and general communication. Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions. Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting. Lifting and moving objects, patients and/or equipment 10 to 25 pounds Work Environment: If located at the 500, 505 Building or a remote work location: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. There are no harmful environmental conditions present for this job. The noise level in this work environment is usually moderate. If located at PACE: Work is typically indoors in a clinical setting serving the frail and elderly. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. If located in the Community: Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. Employee will occasionally work outdoors in varied temperatures. There may be harmful or hazardous environmental conditions present for this job. The noise level in this work environment is usually moderate to loud. About CalOptima Health: CalOptima Health is the single largest health plan in Orange County, serving one in four residents. Our motto - "Better. Together." - is at the heart of our mission to serve members with excellence, dignity and respect. We are a public agency made up of compassionate leaders and professionals working together to strengthen our community's health. We are continuing to build a culture that promotes diversity and inclusion within our community where employees have a sense of belonging, and are valued for their ideas, contributions, and their unique individual perspectives they bring. CalOptima Health has been recognized as one of Orange County's best places to work, so we know there is something special about our organization. It is why people choose to work here and why they choose to stay! About our Benefits & Wellness options: At CalOptima Health, we know that a healthy and happy workforce is a thriving workforce, which is why we offer a comprehensive benefits package, including participation in the California Public Employees Retirement System (CalPERS), low-cost medical/vision/dental insurance options, and paid time off. To support quality work-life balance, we allow flexible scheduling during core business hours, telework options for some positions, work schedules that allow every other Monday or Friday off (9/80 schedule), and a wellness program featuring diverse activities. Additionally, CalOptima Health contributes 4% of pensionable earnings to a 401(a) retirement program with no required employee contribution. For those who are interested in additional retirement savings, employees have access to 457(b) retirement plans with pre/post-tax contribution options. For more information, please click on the 2024 CalOptima Health Benefits Guide regarding our comprehensive benefits and wellness package. IMPORTANT APPLICATION INFORMATION AND INSTRUCTIONS Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is September 20, 2024 at 9:00 PM (PST). Applicants are encouraged to apply early. Applicants that apply after the first review are not guaranteed to be considered for this recruitment. This recruitment may close at any time without notice after the first review date. The selection process may include, but is not limited to, a skills assessment, phone screen and interview. The successful candidate will be required to undergo a reference / background check (to include a conviction record) and if applicable also pass a post-offer pre-employment medical examination (which will include a drug screening). Internal CalOptima Health applicants should apply through InfoNet. Communication regarding your application will be sent to the email address listed on your application. Please check your email, including your SPAM folder, regularly throughout the recruitment process. You can also visit your candidate portal to receive the most up to date status of your application. CalOptima Health is committed to attracting, hiring, and retaining a diverse staff, where we will honor your unique experiences, identity, and perspectives. Our organization strives to create and maintain a workplace environment that is inclusive, equitable and welcoming so we can truly be Better Together. CalOptima Health is an equal opportunity employer and makes all employment decisions on the basis of merit. CalOptima Health wants to have qualified employees in every job position. CalOptima Health prohibits unlawful discrimination against any employee, or applicant for employment, based on race, religion/religious creed, color, national origin, ancestry, mental or physical disability, medical condition, genetic information, marital status, sex, sex stereotype, gender, gender identity, gender expression, transitioning status, age, sexual orientation, immigration status, military status as a disabled veteran, or veteran of the Vietnam era, or any other consideration made unlawful by federal, state, or local laws. CalOptima Health also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has, or is perceived as having, any of those characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation at (714) 246-8400 if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. To apply, please visit: https://jobs.caloptima.org/jobs/actuary-505-city-parkway-west-california-united-states Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-0e09af5a9f8f304aa5dd33eb77854535

Position Description The Associate Director serves as point of contact for the City’s projects. The position manages large complex projects from initiation to completion handling all administrative matters and facilitating communications with all parties, including elected officials, City leaders, and within the City. Work Location This position currently works on-site only. The City of Minneapolis does not sponsor applicants for work visas. Job Duties and Responsibilities Act as staff manager by developing procedures and managing the staff.Manage professional contracts including, overseeing the preparation of the request for proposals, assisting in negotiating and preparing the final contract and any amendments (with assistance of staff attorney(s)), and reviewing all invoices prior to payment.Prepare and make presentations to groups, citizens, elected officials, staff, and act as a liaison regarding project/program activities. Manage the project budget, including ensuring allocation to appropriate components, monitoring expenditures against budget and preparing periodic reports. Develop and administer budgets and contracts.Supervise and participate in developing proposals, revisions to rules, regulations, ordinances, and other formal documentation for the review and approval of elected officials, and other governing bodies. Oversee the financial operations and initiate/participate in actions to develop core financial processes such as annual budgeting and financial performance evaluation to assist in administering the long-term financial plans and multi-million dollar operating and capital budgets.Provide staff supervision ensuring quality and efficiency of work efforts.Monitor against project contingency, reviewing, and approving all changes. Review major transactions and agreements impacting the department and make recommendations to the Deputy Director and Director regarding departmental approval and recommendations to the City Council.Participate in workforce planning for the Department.Coordinate the Risk Management activities for the project. Ensure compliance of city and state retention requirements for all documents related to the programs managed by the position.Support complex projects to achieve key business objectives.Influence adoption of new ideas, products, and/or approaches.Manage and supervise the efforts of the department's staff.Evaluate department policies, programs, and initiative.Identify opportunities for improvement through data collection and analytics, review and support department performance measure framework, human-centered design, and other relevant approaches.Review major transactions and agreements impacting the department and make recommendations to the Director regarding departmental approval and recommendations to the City Council.Drive short-, mid-, and long-term financial planning and developing strategies for leveraging City financial sources (ongoing and one-time) and external sources (Federal, State, and County grants; philanthropic opportunities).Participate in executive level decisions and policy setting within the department.In collaboration with the Finance Department, Risk Management, and the City Attorney’s Office, review the annual rate model and liability projections for the self-insurance fund. Oversee provision of OCS detailed liability reports to the Actuary firm retained by the City.Manage the Grants and Special Project Section, supervising and assisting staff in the production of grant applications.Ensure training materials comply with Federal and State laws and regulations, and other standards including reporting requirements.Develops, designs, and oversees the development of audit work plans, project scopes, methodologies, and compliance testing instruments to facilitate internal audits and compliance reviews.Supervises the creation, maintenance, and management of an audit tracking system, using tools such as Excel and SmartSheet.Conducts supervisory reviews and ensures quality control of audits, inspections, and compliance reviews.Oversees and conducts field work investigations, data analysis, and interviews required to produce audits and reviews. WORKING CONDITIONS: Normal office environment Required Qualifications Minimum Education Bachelor's degree in project management, Public Administration, Business Administration, Political Science, Planning, Nonprofit Management, Finance, or equivalent work experience. Master’s Degree preferred. Minimum Experience Five years of progressively responsible and related government experience is preferred. An equivalent combination of education and work experience closely related to the duties of the position may be considered. Selection Process The selection process will consist of one or more of the following steps: a rating of relevant education and experience and/or an oral examination (100%). It is important that your application show all the relevant education and experience you possess. This information will be used to determine which candidates will proceed in the selection process. A submitted application is also used to verify the answers to any supplemental questions. Only those candidates who attain a passing score (70%) on each step in the selection process will be placed on the eligible list. The City of Minneapolis Human Resources Department reserves the right to limit the number in any phase of the selection process. Background Check The City has determined that a criminal background check and/or qualifications check may be necessary for certain positions with this job title. Applicants may be required to sign an informed consent form allowing the City to obtain their criminal history and/or verify their qualifications in connection with the position sought. Applicants who do not sign the informed consent form will not be further considered for the position. Union Representation This position is appointed (CAP) . Eligible List Statement The names of applicants who meet minimum qualification and who pass the screening process shall be placed on the eligible list for employment consideration. This list will be certified to the hiring manager who may use the list to fill a vacancy of the same job title. This eligible list will expire two months after it has been established. Interview Selection The hiring authority reserves the right to determine the maximum number of candidates to interview from the established eligible list. If the hiring authority decides to interview other than by exam score order, they may select additional people to interview based on a candidate’s education or experience related to the field, work history, or skills uniquely related to the operational needs of the position. Knowledge, Skills and Abilities Considerable knowledge of departmental and City regulations, policies, and procedures. Considerable knowledge of modern supervisory techniques and ability to delegate tasks and assignments. Strong knowledge of budgeting, contract law, managerial accounting. Strong interpersonal and public relations skills, and ability to communicate complex issues effectively, clearly, and concisely in both verbal and written forms, including ability to make presentations. Strong research and analytical skills. Strong negotiation skills. Good project management skills including budgeting and the ability to evaluate financing alternatives. Leadership skills and the ability to manage multiple projects and activities. Ability to create a supportive, inclusive environment that builds trust and sustains partnerships. Demonstrated ability to operate effectively in a political atmosphere. Working knowledge of the fiscal requirements of government, including program budgeting, finance, and contracts. Demonstrated ability to lead groups in complex decision-making processes. Experience and skill in strategic and tactical planning. Ability to recruit competent personnel and to train them to perform their duties in an effective and efficient manner. Ability to supervise personnel in a manner conducive to efficient performance and high morale. Considerable knowledge of project management best practice, methodologies, success factors, tools, and techniques. Working knowledge of computer software and information systems used to facilitate program management. Ability to develop long range plans, create and implement innovative processes and procedures to achieve goals. Benefits Summary Our employees enjoy competitive salaries and generous benefits. We pride ourselves on a comprehensive benefits program that supports employees' health and financial well-being. Programs, resources, and benefit eligibility varies based on position, average hours worked, location and length of service. For detailed benefits information, please visit the benefits page . New 12 weeks of paid parental leave City employees are eligible for up to 12 weeks of paid parental leave in the event of a birth or placement for adoption of a child. Insurance Health insurance Eligibility for benefits begins the first of the month following employment date. The City of Minneapolis offers eligible employees one plan design with a choice of six provider networks, allowing you to select the best option for you. Available plans include Medica Choice Passport, Medica Elect, VantagePlus with Medica, Park Nicollet and HealthPartners Medical Group First with Medica, Ridgeview Community Network powered by Medica, and Clear Value with Medica. Dental insurance The City of Minneapolis offers dental insurance through Delta Dental of Minnesota and pays 100% of the monthly premium for eligible employees. Benefits Paid time off Our generous leave package includes vacation, holidays and paid sick leave, which gives employees the opportunity to enhance their quality of life outside work. Amounts and accrual rates are based on years of experience and collective bargaining agreements . Retirement City employees earn a pension and may choose to participate in additional retirement savings programs. Pension: The City of Minneapolis participates in the Public Employees Retirement Association (PERA). Employees and the City both contribute a percentage of your pay to fund future benefits. Deferred compensation : Employees may choose to participate in pre-tax or after-tax savings plans through the Minnesota State Retirement System (MSRS). Transportation Eligible City employees may choose to participate in the following transportation programs: Metropass: The Metropass program allows eligible employees to enroll in a pass for unlimited bus or light rail rides at a discounted price. Parking or Van Pool: The City of Minneapolis Transportation Benefits Plan gives you options to pay certain commuting costs, such as qualified parking and van pool expenses, with pre-tax dollars. Learning and development To engage and develop employees, the City of Minneapolis offers classes in leadership, cultural agility, change management and more. Additionally, educational discounts at Augsburg University, Hamline University, St. Catherine’s, and St. Mary's University of Minnesota are available to City employees. Other perks Employees can also take advantage of optional life insurance, flexible spending accounts, the Employee Assistance Program , health club discounts and more. Closing Date/Time: Continuous