Manager, Actuarial Services - Los Angeles
3 weeks ago
The Manager Actuarial Services is responsible for monthly financial reporting and related analysis and reporting assistance with submission of healthcare experience reports and financial regulatory filings to California Department of Healthcare Services DHCS Centers for Medicare & Medicaid CMS Covered CA or other requesting government agencies review analysis of DHCS CMS Covered CA payment rates to L.A. Care work with risk adjustment models CDPS Rx HCC RxHCC etc review responsibility agreement deal documentation support company financial projections assist internal departments as needed help acturial team prepare management report answer audit questions.
Manage Monthly Financial Reporting Analysis Review reports ensure consistency appropriateness methodologies used Ensure acturia assumption methodology meet regulation standard Interprete result recommed solution identified issue Provide Assistance ad-hoc project relate rate file new business development finance projection budgeting acquisitions Manage Risk Score Data Analyze Report all line Business Oversee production validation document Acturia report shared risk settlement Estimate Regular analyses revenue cost trend benefit program Manage staff monitoring day-to-day activity performance mentoring training cross-training handle question raised by staff encourage recommend enhance process system assign task delegate responisbility perform duty continous improvement train team member lead complex projetc engage stakeholder develop timeline deliverables ontime implimentation upon approval Resposible Reponding Budget Policy Implement Perform Other Duty Assign Answere call Phone interview mail Correspondence Related Task Notice Work Team Project Activity Schedule Attend Meeting Request Information Training Participate Company Event Update Knowledge Skills Needed Maintain Current Technology Industry Trends Best Practice Regulation Standard Develop Skill Use Resource Improve Performance Follow Up Complete Action Item Make Decision Based On Available Data Expertise Experience Background Education Certification Lead Others Achieve Goal Build Team Foster Collaboration Create Positive Work Environment Handle Conflict Dispute Mediate Resolve Fair Constructive Manner Make Informed Decission Anticipate Future Change Develop Longterm Strategy Align With Comapny Objective.
Job description
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