No matter what your job title, the work you do at Kaiser Permanente supports the health and well-being of the millions of men, women, and children who turn to us for care. That's because all of us-from our marketing/sales professionals, to our financial team members, to our RNs and physicians on the front line of care-are committed to providing the best possible care experience. With locations across the United States, we offer the opportunity to build a rewarding career in an environment that supports your success. Join us and put your beliefs into practice.
Provide actuarial services to develop best-practice actuarial models and promote implementation Program-wide. Maintain accountability for the development of the organization's rate structure, maintenance of adequate reserves, and development of new products. Provide data/analytic expertise to support actuarial services including financial reporting, trend analysis, utilization studies, rate development and claims liability estimates.
Essential Functions:
- Evaluates product line performance and the risk and appropriateness of assumptions used in product development.
- Initiates and designs high priority primary research activities on behalf of clients.
- Addresses opportunities for process improvements and influencing change.
- Works on projects that require more complex planning and direction setting with diverse and multiple stakeholders.
- Analyzes the financial risks for various asset/liability matching scenarios and monitors the appropriateness of reserves.
- Serves as an expert on the current healthcare market.
- Helps identify key gaps in knowledge and needed research for Program and Regions.
- Guides clients away from redundant, non-strategic, cost-ineffective research
- Sets priorities for all ad-hoc projects and analyses with key clients.
- Assists clients in strategic planning, marketplace analysis, estimating growth potential, product research, image and reputation analysis, brand building, and service performance and improvements.
- Makes initial determinations on reserves, dividend allocations, and surplus forecasts.
- Responsibilities impact the achievement of key functional and/or KP objectives that have direct and significant business impact.
- Contributes to the development of the department's objectives.
- Erroneous decisions or recommendations could result in the inability to reach functional objectives and negatively affect expenditures and resources.
- Involves a high degree of interpretation and analysis of inconclusive data.
- Requires significantly complex decision-making.
- Requires a high level of judgment and risk taking to make appropriate decisions for diverse, sophisticated, and undefined issues.
- Develops solutions to problems of unusual complexity, which require a high degree of ingenuity and innovation, using independent judgment to accomplish objectives.
- Requires in-depth analysis to develop and implement unprecedented solutions for more complex problems.
- Requires the exchange of complex information.
- Must gain cooperation and acceptance/approval in resolving problems, and/or negotiating with other parties to arrive at an agreement.
- Assignments can be self-initiated and virtually self-supervised.
- Works under consultative direction toward predetermined long-range goals and objectives.
- Review and analysis of key milestones/findings by stakeholders are critical to the completion and attainment of objectives and goals.
- May have supervisory responsibilities on specific projects.
- Provides coaching that enables team members to develop and improve skills and capabilities that support the effectiveness of the department/function.
- Serves as a technical/professional mentor to team members.
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