Actuarial Analyst, Sr. Principal

California Physicians' Service - Oakland, CA

Full-time - Senior

Oakland, CA

Insurance Carriers and Related Activities

About the position

The Sr. Principal Actuarial Analyst for the Medi-Cal team is responsible for overseeing rate development and analysis, Medi-Cal program analysis, experience reporting, and strategy. This role involves direct management of an actuarial analyst and collaboration with senior leadership and cross-functional teams to drive successful strategy and analytics. The position emphasizes leadership development and continuous learning, aiming to optimize financial performance and strategic alignment within the organization.

Responsibilities

• Oversee rate development and analysis for Medi-Cal programs.
• Manage and evaluate all rate packages from DHCS, including development factors and actuarial assumptions.
• Report financial opportunities and performance optimization areas to the CFO and senior executives.
• Assist in rate negotiation and provide rate guidance.
• Develop and manage advanced analytics projects, ensuring alignment with team and strategic goals.
• Conduct risk assessments and develop pricing trends based on population risk scores.
• Act as the lead subject matter expert in claims, premiums, membership, and risk score assignment.
• Partner with senior leadership to understand strategic direction and financial opportunities.
• Support the CFO in the annual budget setting and ongoing forecasting processes.
• Evaluate and explain monthly financial variances related to revenue and healthcare costs.

Requirements

• Proven experience in actuarial analysis and rate development.
• Strong leadership skills with experience managing teams.
• Ability to influence and negotiate effectively with stakeholders.
• Expertise in advanced analytics and financial forecasting.
• Strong understanding of Medi-Cal programs and healthcare financial processes.

Nice-to-haves

• Experience in healthcare finance and actuarial processes.
• Familiarity with Medi-Cal program regulations and compliance.
• Advanced degree in actuarial science or related field.

Benefits

• Competitive salary and performance bonuses.
• Comprehensive health insurance coverage.
• Retirement savings plan with company matching contributions.
• Professional development opportunities and training programs.