Manager, Actuary - ASO Pricing','180020J','Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. **MEMBERS ONLY**SIGN UP NOW***. is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than million to the **MEMBERS ONLY**SIGN UP NOW***. Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.','!*!Managerial role leading the ASO Pricing team. Work involves developing factors to support pricing for self-funded health plans, as well as claim repricing and trend analysis. Provides analytical and strategic support to sales teams as well as creative solutions to self-funded pricing queries. Will take ownership of the process for BSC claims data submission for use in comparative discount analysis tools.
Conducts analysis, pricing, and risk assessment to estimate financial outcomes. Develops evaluation and financial reporting standards. Must be working on or must be a Member of the American Academy of Actuaries and an Associate/Fellow in the Society of Actuaries.
Receives assignments in the form of objectives and establishes goals to meet objectives. Provides guidance to subordinates.
Responsible for team, department or functional area results in terms of planning, cost and methods.
Develops and implements annual budget.
Ensures work flow procedures and guidelines are clearly documented and communicated.
Establishes and recommends changes to policies which effect subordinate organization(s).
May lead special projects/committees/task forces.
Frequently interacts with subordinate supervisors, outside customers, and functional peer groups at management levels.
Directs and controls the activities of the ASO Pricing team including the coordination of the activities in terms of costs, methods and employees.
Has full management responsibility for staff (i.e. salary actions, promotions, performance reviews, and disciplinary matters) in accordance with the organization's policies and applicable laws.
Monitors on-going performance and communicates expectations and results.
Provides developmental and training opportunities for team members.
Identifies staffing needs and objectives.','!*!Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of work day.Please click here for further physical requirement detail. ','!*!Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of work day.Please click here for further physical requirement detail. ','','Actuarial Operations','United States of America-California-San Francisco','United States of America-California-El Segundo','Finance','Full-time','Aug 9, 2018','External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.','Manager, Actuary - ASO Pricing