Actuary

• Manage the financial management of existing integrated kidney care programs
• Underwrite new value-based care contracts
• Manage a small but growing actuarial analyst team
• Complete annual program financial reconciliations
• Model the economics of new contracts
• Develop enterprise risk management capabilities
• Apply predictive models
• Research health care industry trends
• Develop and deliver executive-level presentations
• Manage program financial reconciliations and monitor developing program experience
• Analyze drivers of program performance and communicate results to leadership and internal stakeholders
• Apply actuarial underwriting principles to value-based contracting, including baseline and trend calculations
• Create and manage internal performance benchmarks
• Lead actuarial process and capability development
• Perform other duties as assigned

Senior Manager, Actuary

• Build initial rating structures and pricing models for new insurance programs
• Model expected loss ratio, commission structure, fronting costs, and profitability under different scenarios
• Validate rating logic in production systems before launch
• Produce recurring loss ratio, frequency, severity, and trend reporting for program reviews
• Build and maintain performance dashboards for Underwriting and leadership
• Investigate emerging trends and adverse development and provide recommendations
• Prepare loss data, exhibits, and experience analyses for carrier submissions, renewal proposals, and reinsurance placements
• Support bordereaux accuracy, delegated authority reporting, and carrier audit requests
• Build and maintain rate indications, loss cost models, and rate level analyses
• Support segmentation and risk selection analysis and recommend rate responses
• Perform competitive and market analysis to assess pricing adequacy and positioning
• Prepare rate, rule, and form filing exhibits and supporting actuarial materials and respond to regulator objections
• Provide analytical support for underwriting referrals, account-level pricing questions, and appetite decisions
• Help maintain and refine underwriting guidelines using data
• Partner with Underwriting, Claims, Finance, Product, and Engineering
• Automate recurring analyses and apply AI where it improves efficiency

• Support a Consulting Actuary in completing actuarial and consulting projects for insurance companies and self-insureds
• Prepare rate level indications
• Complete class plan analyses
• Perform competitive research
• Complete benchmarking analyses
• Provide rate/rule filing support
• Conduct reserve analyses
• Conduct self-insured retention analyses and funding studies
• Update reserve studies for new or additional years of data
• Perform technical reviews of formulas and data entry
• Extract and summarize annual statement data
• Complete actuarial transmittal forms in all US jurisdictions for rate and rule filings

Actuarial Consultant

• Drive the strategic vision for ACA pricing methodologies.
• Oversee the annual rate filing process with CMS and State DOIs.
• Own significant financial forecasts.
• Deliver executive-level presentations with actionable actuarial recommendations.
• Cultivate strategic partnerships across key business units, including Market P&L and Finance.
• Represent the Actuarial function in executive forums.
• Lead complex analytics initiatives, including morbidity trend and competitive analyses.
• Influence enterprise-wide decisions on pricing, strategic business growth, and network strategies.
• Support federal and state advocacy efforts.
• Author actuarial thought leadership on ACA regulations.
• Provide mentorship, coaching, and development planning for team members.
• Perform other duties as assigned.

Actuary jobs in California

Senior Manager, Actuary

Actuary

Actuarial Consultant

Senior Director, Regional Actuarial