Description

Perform a critical role within a world-class health organization. Elevate the operational effectiveness of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health.

You will provide important actuarial support on a wide variety of topics, including pricing, forecasting, reserving, trend analysis, value-based care, and risk adjustment - mainly focusing on MAPD business. This will involve working closely with Faculty Practice Group departments to analyze the business, identify, and recommend actions which support company objectives and drive financial results. You will apply your in-depth understanding of the health actuarial field as you take on a full-range of responsibilities within this role.

Salary Range: $78,800 - $175,000 Annually

Qualifications

We're seeking a highly-motivated, flexible, detail-oriented individual with:

• A directly related Bachelor's degree in related area and/or equivalent combination of experience/training

• Associate of the Society of Actuaries or Fellow of the Society of Actuaries (or actively working to attain)

• Four or more years of experience with Medicare Advantage, particularly pricing and bid development, Medicare Part D, or pharmacy pricing

• In-depth knowledge of Medicare Advantage regulations, reimbursement methodologies, and CMS guidelines preferred

• Thorough understanding of decision support systems

• Knowledge of business statistics, quantitative methods, relational databases, data modeling, and performance/profitability analysis

• Familiarity with clinical finance, planning, financial data management and business development

• Ability to produce meaningful findings and actionable intelligence

• Proven skills in data analysis and financial model-building

• Experience creating detailed reports with drill-down capabilities using large datasets from multiple sources

• Excellent critical thinking and problem-solving abilities

• Ability to facilitate a positive team atmosphere

• Strong interpersonal, communication, time management, and organizational skills

• Ability to work effectively with senior staff and managers

• Computer proficiency, including advanced knowledge of Excel

• Scripting or programming experience preferred

• Experience with database, SQL, and XML a plus

Note: Skills subject to test.

UCLA Health is a world-renowned health system with four award-winning hospitals and more than 260 community clinics throughout Southern California. We are also home to the David Geffen School of Medicine, a highly respected leader in the development of breakthrough medical research and outstanding clinical professionals. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.