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Financial Analyst IV (Decision Support) CalOptima CalOptima Health is seeking a highly motivated Financial Analyst IV (Decision Support) to join our team. The Financial Analyst IV (Decision Support) will be responsible for providing analysis, guidance and expert knowledge on health care finance for various departments within CalOptima Health. Working independently, the incumbent will lead large-scale analytical initiatives and develop report suites and financial models used to forecast medical cost trends. The incumbent will provide support for provider contract negotiations, assess actuarial rate development studies, participate in annual budgeting functions, provide ad-hoc analytic support as needed and act as a resource to staff and other consultants within the department. The incumbent will evaluate various complex issues, perform detailed analysis and communicate well reasoned solutions to all levels of management within CalOptima Health. The incumbent will work with large amounts of claims, enrollment and provider data. Position Information: 
<ul>
<li>Department: Financial Analysis </li>
<li>Salary Grade: 314 - $99,902 - $159,843 ($48.03 - $76.8476) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>95% - Program Support
<ul>
<li>Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.</li>
<li>Researches, assesses and develops advanced tools, models, reports and approaches to increase the accuracy and timeliness of data-driven work projects.</li>
<li>Develops medical expense, revenue and enrollment projections to support the budget process.</li>
<li>Develops financial models and reports to support provider contract negotiations.</li>
<li>Develops return on investment and business case analyses for program initiatives under consideration by management.</li>
<li>Provides clinical and utilization analysis to assist Medical Management with improving outcomes and quality of care for CalOptima Health members.</li>
<li>Collaborates with the Data Warehouse team to design and recommend improvements to the data warehouse.</li>
<li>Provides support and analyses around risk adjustment.</li>
<li>Mentors, trains and serves as a lead for analytical staff.</li>
<li>Designs, develops, implements and maintains report suites and dashboards for all levels of CalOptima Health management.</li>
<li>Serves as a subject matter expert around one or more of the following areas: Medi-Cal provider rate methodology, Medicare provider rate methodology, Department of Health Care Services (DHCS) revenue, Centers for Medicare &amp; Medicaid Services-Medicare Advantage (CMS-MA) revenue, population health member cohort identification, industry standard approaches to health care cost service categorization and metrics. </li>
</ul>
</li>
<li>5% - Other
<ul>
<li>Completes other projects and duties as assigned. </li>
</ul>
</li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration, finance, economics, actuarial sciences or related field PLUS 6 years of experience working with health care finance reporting and analytics in a medical group, hospital or health plan setting 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. </li>
<li>3 years of experience in Provider Contract Modeling required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Experience working with commercial, Medi-Cal and Medicare large payer data sets and related pricing information that is publicly available. </li>
<li>Experience developing annual organizational budgets, forecasts and financial modeling. </li>
<li>Experience using Tableau and/or Microsoft SQL Server.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>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. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>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.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 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 &amp; 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, 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 <a href="https://apptrkr.com/get_redirect.php?id=6299502&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> 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 June 26, 2025 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: <a href="https://apptrkr.com/6299502" target="_blank">https://jobs.caloptima.org/jobs/financial-analyst-iv-decision-support-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-f3569a1ca984034796c2553e8b161065

Financial Analyst IV (Decision Support)

Director, Medicare Program Development (Director III) CalOptima CalOptima Health is seeking a highly motivated Director, Medicare Program Development (Director III) to join our team. The Director III (Medicare Program Development) will be responsible for leadership, plan management and operations of CalOptima Health's Medicare lines of business, including the Program of All Inclusive Care for the Elderly (PACE) health plan operations. The incumbent will provide direction to CalOptima Health's departments to ensure compliance with regulatory agencies such as the Centers for Medicare and Medicaid (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC). The incumbent will collaborate with the Operations Management, Clinical Operations, Regulatory Relations and Finance departments, including but not limited to Customer Service, Grievance and Appeals, Medical Management, Provider Network Operations, Strategic Development, Compliance and Regulatory Affairs and subcontracted providers and health networks. The Director III will interact with all levels of CalOptima Health's staff, members, providers, regulatory agencies, advisory committees and representatives of other agencies as needed. Position Information: 
<ul>
<li>Department: Operations Management </li>
<li>Salary Grade: 322 - $192,386 - $307,817 ($92.49 - $147.9891) </li>
<li>Work Arrangement: Partial Telework **This position is eligible for telework in California.** </li>
</ul>
 Duties &amp; Responsibilities: 
<ul>
<li>50% - Leadership Functions
<ul>
<li>Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.</li>
<li>Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department.</li>
<li>Hires, supervises, develops, counsels and reviews the performance of department staff.</li>
<li>Supports the development of reports and presentations to CalOptima Health's Board of Directors, as needed.</li>
<li>Utilizes matrix management, directs and coordinates staff throughout the organization in the implementation of strategic work plans, development and implementation of new benefits or other initiatives for health plan operations, including but not limited to CMS Five Star Program operational initiatives and improvement activities.</li>
<li>Ensures implementation of Medicare and PACE program changes to comply with CMS regulatory requirements and is responsible for communication with stakeholders to implement such changes.</li>
<li>Ensures timely filing and compliance with CMS reports and data submissions.</li>
<li>Reviews and recommends approval of OneCare program and PACE health plan operations policies and procedures by the Executive Director and executive leadership. </li>
</ul>
</li>
<li>45% - Program Oversight
<ul>
<li>Directs and leads all business operations associated with the Medicare lines of business operations and supports certain PACE health plan operations, including coordination with and oversight of delegated health networks, contracted providers and contracted vendors.</li>
<li>Directly leads Medicare Programs outreach and retention function including developing strategies designed to expand community outreach and retention of current OneCare members.</li>
<li>Reviews and monitors Medicare programs and PACE program financial performance, provides recommendations and develops action plans.</li>
<li>Develops and monitors strategies and tactics for business development, new member enrollment and member retention in Medicare and PACE programs.</li>
<li>Supports Medicare annual bid submissions, including project management, supplemental benefit development and coordination with external actuary firm(s) and internal departments to complete and submit bids on time for Medicare and PACE programs.</li>
<li>Oversees the development of strategic plans, work plans and other initiatives for the OneCare and PACE program health plan operations.</li>
<li>Collaborates with Finance and other departments to improve activities for Medicare Risk Adjustment Factor (RAF) improvement activities for applicable programs.</li>
<li>Collaborates with internal departments in the implementation and oversight of community and member outreach activities designed to maximize visibility of Medicare programs including OneCare and PACE.</li>
<li>Partners with staff from across the organization to research specific issues as necessary to develop and analyze solutions and make policy or programmatic recommendations to address operational issues.</li>
<li>Reviews reports for submission to CMS, CalOptima Health's Board of Directors, executive leadership and others, as needed.</li>
<li>Facilitates monthly operations meetings to review Medicare and PACE program medical, financial and administrative operations.</li>
<li>Communicates the plan's operational issues, ensures adherence to work plans, identifies problem areas and develops solutions to issues or problems.</li>
<li>Collaborates with Medicare Programs Sales and Marketing and Communications departments in the development of marketing and enrollment strategies and tactics for increasing Medicare and PACE program enrollment and retention. </li>
</ul>
</li>
<li>5% - Completes other projects and duties as assigned. </li>
</ul>
 Minimum Qualifications: 
<ul>
<li>Bachelor's degree in business administration or related field PLUS 7 years of experience in a management position of a health insurance plan, Independent Physician Association (IPA), managed care organization or public agency serving Medicare and Medicaid (Medi-Cal) populations 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. </li>
<li>7 years of progressive leadership experience, including direct supervision of staff required.</li>
</ul>
 Preferred Qualifications: 
<ul>
<li>Master's degree. </li>
<li>Medicare Advantage health plan operations, Medicare Advantage health maintenance organization (HMO) special needs plans (SNP), Medicaid or Medi-Cal and PACE program operations experience. </li>
<li>Project management experience.</li>
</ul>
 Required Licensure / Certifications: 
<ul>
<li>N/A</li>
</ul>
 Knowledge &amp; Abilities: 
<ul>
<li>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. </li>
<li>Work independently and exercise sound judgment.</li>
<li>Communicate clearly and concisely, both orally and in writing.</li>
<li>Work a flexible schedule; available to participate in evening and weekend events.</li>
<li>Organize, be analytical, problem-solve and possess project management skills.</li>
<li>Work in a fast-paced environment and in an efficient manner.</li>
<li>Manage multiple projects and identify opportunities for internal and external collaboration.</li>
<li>Motivate and lead multi-program teams and external committees/coalitions.</li>
<li>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.</li>
</ul>
 Physical Requirements (With or Without Accommodations): 
<ul>
<li>Ability to visually read information from computer screens, forms and other printed materials and information.</li>
<li>Ability to speak (enunciate) clearly in conversation and general communication.</li>
<li>Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions.</li>
<li>Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.</li>
<li>Lifting and moving objects, patients and/or equipment 10 to 25 pounds</li>
</ul>
 Work Environment: If located at the 500, 505 Building or a remote work location: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed.</li>
<li>There are no harmful environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate.</li>
</ul>
 If located at PACE: 
<ul>
<li>Work is typically indoors in a clinical setting serving the frail and elderly.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 If located in the Community: 
<ul>
<li>Work is typically indoors and sedentary and is subject to schedule changes and/or variable work hours, with travel as needed. </li>
<li>Employee will occasionally work outdoors in varied temperatures.</li>
<li>There may be harmful or hazardous environmental conditions present for this job.</li>
<li>The noise level in this work environment is usually moderate to loud.</li>
</ul>
 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 &amp; 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, 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 <a href="https://apptrkr.com/get_redirect.php?id=6281703&amp;targetURL=https://alliantbenefits.cld.bz/25caloptimacabenguide" target="_blank">2025 CalOptima Health Benefits Guide</a> 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 June 20, 2025 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: <a href="https://apptrkr.com/6281703" target="_blank">https://jobs.caloptima.org/jobs/director-medicare-program-development-director-iii-505-city-parkway-west-california-united-states</a> Copyright ©2025 Jobelephant.com Inc. All rights reserved. <a href="https://www.jobelephant.com/" target="_blank">Posted by the FREE value-added recruitment advertising agency</a> jeid-7afb9ea777e68d4fab491cabeb4bb238

Director, Medicare Program Development (Director III)

Finance: SCOR Global Life Americas Reinsurance Company seeks Director, Actuary Fin'l Dvlpmt Innovation in NY, NY to lead actuarial modeling projects at SCOR US, such as annual assumption updates &amp; quarterly in force mgmt projects &amp; be key contributor to other company-wide strategic projects. Req'mts: Bachelor's or foreign equiv in Actuarial Sci, Math, Stats or rel. field, or rel. field &amp; 5 yrs of progressively responsible exp in job offered or rel. occupation: utilizing exp w/fin'l valuation, modeling, &amp; cash flow analysis. Must be Fellow of the Society of Actuaries. Telecommuting &amp;/or work from home may be permissible pursuant to company policies. When not telecommuting, must report to work site. Offered salary is btwn $195,000 &amp; $250,000/yr. 40 hrs/wk. Please submit resume to <a href="mailto:KZAGOLSKA@scor.com" target="_blank">KZAGOLSKA@scor.com</a> &amp; indicate job code LL041825AD. No Headhunters. NO CALLS PLEASE. EOE.

Director, Actuary Fin'l Dvlpmt Innovation

Field Risk Engineer - AIG PC Global Services, Inc. (Jersey City, NJ): Conduct data sourcing, Extract-Transform-Load ("ETL"), validation, &amp; data management to ensure data quality &amp; integrity alignment with data office standards. Perform data manipulation &amp; visualization support for the actuarial business area. Work with data engineering, business intelligence, data science, price management, &amp; analytics; relational databases, SQL, Python, &amp; PySpark; big data &amp; cloud technologies, including Snowflake, EMR, &amp; Redshift; large datasets using SAS &amp; R; data pipeline, data manipulation, shell script automation, &amp; computing process optimization; &amp; providing data for data visualization tools, including Tableau, Power BI &amp; QlikView. Req's Bachelor's deg. + 2 yrs exp. Salary Range: $82,763.00 - $106,000.00 per year. Please apply at: <a href="https://tinyurl.com/4ct29x8j" target="_blank">https://tinyurl.com/4ct29x8j</a>

Field Risk Engineer

<h3>Job Description</h3>
Job Description
General Description:
This individual will support all our current and future states in all product lines of insurance by accessing data, performing rate reviews, reserve analysis and other actuarial studies; preparing rate filings and responding to inquiries from regulatory departments; and working with accounting, external actuaries, consultants and auditors.
Essential Duties and Responsibilities:
Oversee and manage projects related to Pricing.
Lead the ratemaking process and develop pricing indications so as to attain an underwriting profit.
Perform various Pricing projects, including but not limited to quarterly rate adequacy reviews, internal rate indications, and analysis of internal and external data
Support and develop Pricing tools, and advance Pricing methodology in terms of data capture and analysis.
Manage competing internal interests with respect to rate filings and oversee the process.
Lead the review of new product strategies, design, pricing, and implementation of rate changes.
Price alternative structures as needed.
Interact as needed with relevant regulatory authorities on filings. Testify as required in support of rate filings.
Lead the review of new product strategies, design, pricing, and implementation of rate changes.
Drive process improvements and provide insight to leadership from an actuarial perspective.
Oversee the Reserving process and projects related to Reserving, including but not limited to quarterly reserve reviews and monthly IBNR roll forwards. 
Lead the development of new Reserving tools, advance reserving methodology in terms of data capture and analysis and lead the design and implementation of new processes.
Work with accounting, external actuaries, and auditors to provide accurate data, provide reconciliations and assist with calculations, resolve discrepancies and assist in any way necessary to assist in the completion of accurate financial statements with the Statement of Actuarial Opinion.
Manage competing internal interests and workload with respect to data requirements, ratemaking, rate filings and product development.
Provide data in support of actuarial, product and underwriting, and reserving initiatives.
Perform data manipulation, analysis, and automation, including but not limited to data cleansing and automated reporting.
May manage teams of actuarial analysts.
Ensure that data is correct, consistent, and robust. Perform proper data validation and reconciliation exercises.
Practice appropriate spreadsheet and data stewardship: Organize and document data, data sources, and calculations in such a way that it can be easily reviewed by a peer or external party.
Keep managers and team informed of activities and situations which will impact the achievement of corporate and department goals and objectives.
Present results and conclusions of analysis to other departments and senior management.
Keep up to date on the insurance environment, regulatory changes, social influences, and new actuarial and data methods. Be proactive in revising approaches and methods to continually improve all our work products.
Provide leadership on special projects related to ratemaking, reserving and financial analysis projects.
Perform other duties as required.
Supplemental Information:
This job description has been prepared to indicate the general nature and level of the work that the employees perform within their classification. This description is not and cannot be interpreted as an inventory of all the duties, tasks, responsibilities and qualifications required for the employees assigned to this job.
Education and Experience:
A Bachelor’s degree in actuarial science, mathematics, risk management or a related field.
Minimum of 8 years of actuarial experience, with homeowners and commercial lines experience preferred
Advanced proficiency in Microsoft Access, Excel, Work and Power Point.
Excellent communication skills, both written and oral.
Strong data and programming experience in an insurance environment is desired.
Proficient knowledge of SQL, MySQL, Oracle, or similar database languages is desired.
Proficient knowledge of R, Python, VBA, or similar programming languages is desired.
Advanced presentation skills.
Advanced analytical, problem-solving, and research skills.
Work extremely well independently.
Must possess strong work ethic and be a “team player”.
Project management skills. Lead project teams both with and without formal reporting authority.
Ability to work with multiple competing priorities.
Licenses and / or Certifications:
Associate of the Casualty Actuarial Society (ACAS) highly desired.
Commitment to attain Fellowship in the Casualty Actuarial Society (FCAS) desired but not required.

ACTUARY

<h3>Job Description</h3>
Job Description
Skill Actuarial Experience in P&amp;C domain.
Education Background form Actuarial Area
Good Statistical and Analytical skill in Actuarial domain 
Preferred to have Good Knowledge Modelling and State rate filings 
Key Responsibilities
<ul>
<li>Risk Assessment – Evaluating financial risks related to insurance policies, investments, and pension plans.</li>
<li>Data Analysis – Using statistical models to predict future events, such as accidents, illnesses, or economic downturns.</li>
<li>Policy Design – Developing insurance policies and pension plans that minimize financial risks.</li>
<li>Financial Forecasting – Estimating future liabilities and ensuring companies have sufficient reserves.</li>
<li>Regulatory Compliance – Ensuring financial strategies align with legal and industry regulations.</li>
<li>Collaboration – Working with accountants, economists, and financial analysts to develop risk mitigation strategies.</li>
</ul>
Skills Required
To succeed as an actuary, professionals need a combination of technical and analytical skills:
<ul>
<li>Mathematical Proficiency – Strong knowledge of probability, statistics, and financial mathematics.</li>
<li>Programming &amp; Data Analysis – Familiarity with tools like Python, R, Excel, and actuarial software.</li>
<li>Problem-Solving – Ability to analyze complex financial data and develop strategic solutions.</li>
<li>Communication Skills – Presenting findings in a clear and understandable manner to stakeholders.</li>
<li>Business Acumen – Understanding financial markets, economic trends, and investment strategies.</li>
</ul>

Actuary

<h3>Job Description</h3>
Job Description
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated credentialed Actuary on the Forecasting Team, you will provide accurate and insightful projections for forecast processes and communicate results to key business partners at all levels to drive key strategic decisioning conversations. You will also provide mentorship and guidance to more junior team members to foster a culture of learning and development.
Additional responsibilities may include leveraging advanced knowledge in pricing to lead and complete broad, complex unstructured projects with countrywide product-level impact.
This position can work remotely in the continental U.S. with occasional business travel.
What you'll do:
<ul>
<li>Apply advanced actuarial knowledge to complete broad and complex projects (e.g., evaluates and selects methodology to price new discount/endorsement for countrywide rollout; develops alternative methodologies to comply with complex regulatory requirements; selects metrics and designs processes to monitor model performance; translates business problems into technical requirements and performs required analysis to develop solutions; independently runs catastrophe models and interprets and communicates results to support critical business activities, while enhancing the control environment as needed.</li>
<li>Utilize advanced actuarial, mathematical, or statistical techniques to augment actuarial work product.</li>
<li>Lead special actuarial projects, such as the development of new methodologies or reporting tools.</li>
<li>Train new team members on the theory and mechanics of relevant actuarial methodologies.</li>
<li>Apply deep understanding of products supported, stakeholders’ needs, and industry trends to solve unstructured business problems.</li>
<li>Identify and anticipates compliance gaps and process improvements; recommends and develops solutions to mitigate risk.</li>
<li>Represents Actuary in cross-functional efforts.</li>
<li>Develop written communication and presentations that effectively convey data-driven solutions to broad audiences, including cross-functional executive leadership.</li>
<li>Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li>
</ul>
What you have:
<ul>
<li>Bachelor’s degree; OR 4 years of related Actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li>
<li>4 years of Actuarial or analytical business experience.</li>
<li>Associate of the Casualty Actuarial Society (ACAS) Credential.</li>
<li>Demonstrated advanced skills with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.</li>
<li>Advanced knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data &amp; methods and ability to connect external insights to business problems.</li>
<li>Demonstrated experience communicating complex solutions and analysis to both technical and nontechnical audiences, including executive leadership.</li>
</ul>
What sets you apart:
<ul>
<li>A passion for creative and innovative actuarial work and developing that mindset in less experienced analysts through project leadership and oversight related to this work</li>
<li>Strong Actuarial pricing expertise with experience in using a variety of pricing methodologies and models</li>
<li>Experience translating detailed analytics into manageable visualizations and communicating/presenting the results concisely to executive leadership</li>
<li>Experience working on multiple projects, managing competing priorities, and prioritizing workflow through strong partnerships with multiple business partners</li>
<li>Demonstrable problem-solving, critical thinking, and analytic skills</li>
<li>Ability to improve existing processes and create new, repeatable workflows to enhance team productivity</li>
<li>US military experience through military service or a military spouse/domestic partner</li>
</ul>
Compensation range: The salary range for this position is: $127,310 - $243,340.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). 
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. 
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
PandoLogic. Keywords: Actuary, Location: Phoenix, AZ - 85013 , PL: 598801456

<h3>Job Description</h3>
Job Description
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated credentialed Actuary on the Forecasting Team, you will provide accurate and insightful projections for forecast processes and communicate results to key business partners at all levels to drive key strategic decisioning conversations. You will also provide mentorship and guidance to more junior team members to foster a culture of learning and development.
Additional responsibilities may include leveraging advanced knowledge in pricing to lead and complete broad, complex unstructured projects with countrywide product-level impact.
This position can work remotely in the continental U.S. with occasional business travel.
What you'll do:
<ul>
<li>Apply advanced actuarial knowledge to complete broad and complex projects (e.g., evaluates and selects methodology to price new discount/endorsement for countrywide rollout; develops alternative methodologies to comply with complex regulatory requirements; selects metrics and designs processes to monitor model performance; translates business problems into technical requirements and performs required analysis to develop solutions; independently runs catastrophe models and interprets and communicates results to support critical business activities, while enhancing the control environment as needed.</li>
<li>Utilize advanced actuarial, mathematical, or statistical techniques to augment actuarial work product.</li>
<li>Lead special actuarial projects, such as the development of new methodologies or reporting tools.</li>
<li>Train new team members on the theory and mechanics of relevant actuarial methodologies.</li>
<li>Apply deep understanding of products supported, stakeholders’ needs, and industry trends to solve unstructured business problems.</li>
<li>Identify and anticipates compliance gaps and process improvements; recommends and develops solutions to mitigate risk.</li>
<li>Represents Actuary in cross-functional efforts.</li>
<li>Develop written communication and presentations that effectively convey data-driven solutions to broad audiences, including cross-functional executive leadership.</li>
<li>Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li>
</ul>
What you have:
<ul>
<li>Bachelor’s degree; OR 4 years of related Actuarial/business/analytical experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li>
<li>4 years of Actuarial or analytical business experience.</li>
<li>Associate of the Casualty Actuarial Society (ACAS) Credential.</li>
<li>Demonstrated advanced skills with relevant actuarial, mathematical, and statistical techniques and approaches used to support fact-based decision-making.</li>
<li>Advanced knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data &amp; methods and ability to connect external insights to business problems.</li>
<li>Demonstrated experience communicating complex solutions and analysis to both technical and nontechnical audiences, including executive leadership.</li>
</ul>
What sets you apart:
<ul>
<li>A passion for creative and innovative actuarial work and developing that mindset in less experienced analysts through project leadership and oversight related to this work</li>
<li>Strong Actuarial pricing expertise with experience in using a variety of pricing methodologies and models</li>
<li>Experience translating detailed analytics into manageable visualizations and communicating/presenting the results concisely to executive leadership</li>
<li>Experience working on multiple projects, managing competing priorities, and prioritizing workflow through strong partnerships with multiple business partners</li>
<li>Demonstrable problem-solving, critical thinking, and analytic skills</li>
<li>Ability to improve existing processes and create new, repeatable workflows to enhance team productivity</li>
<li>US military experience through military service or a military spouse/domestic partner</li>
</ul>
Compensation range: The salary range for this position is: $127,310 - $243,340.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). 
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. 
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. 

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
PandoLogic. Keywords: Actuary, Location: Colorado Springs, CO - 80909 , PL: 598801435

<h3>Job Description</h3>
Job DescriptionKey Responsibilities: 
<ul>
<li>Lead the development and maintenance of workers' compensation pricing models and reserving methodologies.</li>
<li>Manage and mentor a team of actuarial analysts, fostering professional growth and technical excellence.</li>
<li>Conduct quarterly reserve analyses and present findings to senior leadership and regulatory bodies.</li>
<li>Collaborate with underwriting, claims, finance, and data science teams to support business strategy and profitability.</li>
<li>Monitor industry trends, regulatory changes, and emerging risks in the workers' compensation space.</li>
<li>Ensure compliance with actuarial standards of practice and regulatory requirements.</li>
<li>Support the preparation of actuarial opinions, rate filings, and financial reporting.</li>
<li>Drive automation and modernization of actuarial tools and processes.</li>
</ul>
 Qualifications: 
<ul>
<li>Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field.</li>
<li>ACAS or FCAS designation required.</li>
<li>Minimum 6-8 years of actuarial experience, with at least 3 years focused on workers' compensation.</li>
<li>Prior leadership or management experience preferred.</li>
<li>Strong proficiency in actuarial software (e.g., SQL, R, Python, Excel, VBA).</li>
<li>Excellent communication and presentation skills.</li>
<li>Ability to work effectively in a hybrid or remote team environment.</li>
</ul>
 Preferred Attributes: 
<ul>
<li>Experience with Midwest insurance markets or regional carriers.</li>
<li>Familiarity with predictive modeling and machine learning applications in insurance.</li>
<li>Strategic thinker with a proactive approach to problem-solving.</li>
</ul>
Company DescriptionOperating as part of Phaidon International, Selby Jennings is a multi-award winning global recruitment organization focused on servicing the financial industry. By breaking down financial markets into individual niches and micro-specialisms, Selby Jennings powers a knowledge-led model, delivering global solutions into local markets. Every consultant is an expert in their field. Structuring our teams to mirror the demands of our clients and candidates, we identify, qualify and present the highest caliber candidates, as well as identifying the best market opportunities for leading finance professionals. We work in partnership with clients to tailor-make a suitable search model based on the type of assignment and client service level requirements, adopting a bespoke combination of solutions to ensure optimum reach into the active and passive market places. From our offices around the world, we recruit beyond international boundaries, pro-actively sourcing the best talent in the industry. Across contingent, retained, and project solutions, our service is unrivaled; speaking to our level of service provision, search accuracy, and flexibility. 
<h3>Company Description</h3>
Operating as part of Phaidon International, Selby Jennings is a multi-award winning global recruitment organization focused on servicing the financial industry.\r\n\r\nBy breaking down financial markets into individual niches and micro-specialisms, Selby Jennings powers a knowledge-led model, delivering global solutions into local markets. Every consultant is an expert in their field. Structuring our teams to mirror the demands of our clients and candidates, we identify, qualify and present the highest caliber candidates, as well as identifying the best market opportunities for leading finance professionals.\r\n\r\nWe work in partnership with clients to tailor-make a suitable search model based on the type of assignment and client service level requirements, adopting a bespoke combination of solutions to ensure optimum reach into the active and passive market places.\r\n\r\nFrom our offices around the world, we recruit beyond international boundaries, pro-actively sourcing the best talent in the industry. Across contingent, retained, and project solutions, our service is unrivaled; speaking to our level of service provision, search accuracy, and flexibility.

217 Actuary Jobs