Actuarial Analyst IV Commercial Risk Adjustment

Job Summary:

The Actuarial Analyst IV Commercial Risk Adjustment will be instrumental in running and understanding how to interpret the results of the various commercial risk adjusting models being employed, as well as represent, discuss Kaiser Permanente's interests when talking to external large group customers/consultants/brokers.
Responsible for researching and determining the likelihood of financial risk to the organization, leading the completion of actuarial documentation, developing and designing product line evaluations and new or advanced actuarial models, and assessing, analyzing, and interpreting financial risk and opportunity for presentation to senior stakeholders..

Essential Responsibilities:

• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities.
• Develops and designs actuarial documentation by completing the actuarial portion of financial reports and tax returns; and responses to insurance regulations.
• Participates in product line evaluations by conducting and interpreting analysis of product line financials, pricing, reserve, valuation , cash flow analysis; and analyzing and interpreting product line performance, risk, and assumptions used in product development.
• Utilizes actuarial research by implementing non-complex developments standards, assumptions, and the legal and regulatory environment.
• Assesses, analyzes and interprets financial risks and opportunities by applying advanced actuarial methods; and conducting actuarial analyses.
• Collaborates with business partners by translating mathematical constructs into actionable recommendations; and complying with the Actuarial Standards of Practice.
• Develops and designs advanced actuarial models; assists with the development of alternative assumptions and forecasts using in-house models or actuarial software; and validates the results.