Actuary, Sutter Health Plan

EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma.

- Bachelor's in Actuarial Science, Economics, Mathematics or related field

- 5 to 8 years of recent and relevant actuarial experience - ASA preferred - Member, American Academy of Actuaries (MAAA) preferred

- Expertise in actuarial pricing, underwriting, statistical modeling, analytics, networks, forecasting and reserve systems, including expert knowledge of the applicable. - Actuarial Standards of Practice (ASOP) issued by Actuarial Standards Board (ASB), generally accepted accounting principles (GAAP) and internal/statutory financial reporting regulations. - Extensive knowledge of core health actuarial processes including pricing, valuation, and budgeting/forecasting with a demonstrated knowledge of the capitated delegated model and capitation terms including division of responsibility. - Thorough knowledge of healthcare delivery systems, integrated delivery systems and medical group practices, especially in a managed care environment, as well as an advanced understanding of key government programs ((Medicare/Medicaid) and market segments (individual, small group, etc.). - In-depth knowledge of premium rate and benefit pricing methodologies, including a working understanding of health care cost structures (fee schedules, actuarial cost categories, and health care utilization codes). - Advanced knowledge of key operational functions of a health plan, including expert knowledge of key dimensions of health plan data: Claims, Enrollment, and Revenue. - Superior business acumen, exceptional analytical and advanced project management skills, with the proven ability to provide innovative solutions to complex problems, reach practical conclusions, and institute effective changes. - Possess written and verbal communications skills to explain complex health plan regulations and technical information clearly and professionally to diverse audiences. - Proficiency in a range of actuarial and statistical software packages which include SQL and Excel Visual Basic (VBA) skills. - Analyze issues, predict downstream effects, and effectively prevent or resolve problems. - Work independently as well as be part of an interdisciplinary team, while demonstrating exceptional attention to detail and organizational skills. - Prioritize and delegate assignments under varied and urgent conditions and work based on experience, procedures, policies, and best practices to achieve objectives and meet deadlines. - Lead others to solve complex problems using sophisticated analytics to identify innovative solutions. - Influence individuals or groups with diverse opinions and to enlist cooperation without direct control/authority. - Ensure the privacy of each patient's protected health information (phi). - Build collaborative relationships with peers, other departments, stakeholders, management, and vendors to provide cost-effective healthcare to patients and our health plan members when, where, and how they want it.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $126,256.00 to $189,384.00 / annual salary. California - Sacramento Valley, New Jersey, Washington Pay Range is $126,256.00 to $189,384.00 / annual salary. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Virginia Pay Range is $113,630.00 to $170,456.00 / annual salary.

Arizona, Arkansas, Idaho, Illinois, Louisiana, Michigan, Minnesota, Missouri, Montana, South Carolina, Tennessee, Utah Pay Range is $101,004.00 to $151,507.00 / annual salary.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program.

Eligible positions also include a comprehensive benefits package.