Kaiser Permanente is hiring an
Actuarial Analyst III (Pharmacy)
Candidate will assist lead actuaries with the development of Rx trend studies, Medicare Part D Bids, evaluating contracting proposals from pharmaceutical manufacturers and contracted PBM, financial analysis of formulary tiering decisions, supporting Part D budget modeling, legislative assessments, and novel drug therapy risk forecasting.
Essential Responsibilities:- Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.
- Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate.
- Supports actuarial documentation by preparing and reviewing for accuracy and reasonability the actuarial portion of financial reports and tax returns; and responses to insurance regulations.
- Participates in product line evaluations by conducting analysis of product line financials, pricing, reserve, valuation, cash flow analysis; and analyzing product line performance, risk, and assumptions used in product development.
- Stays abreast of actuarial research by examining developments in standards, assumptions, competition, and the legal and regulatory environment.
- Assesses, analyzes and interprets financial risks and opportunities by applying actuarial methods; and conducting actuarial analyses.
- Supports collaborations with business partners by understanding the business needs; translating actuarial constructs into non-technical recommendations; and complying with the Actuarial Standards of Practice.
- Supports actuarial modeling by developing and enhancing actuarial models; assisting with the development of alternative assumptions and forecasts using in-house models or actuarial software; and assisting with validating the data and results.
- Bachelors degree in mathematics or related field AND Minimum four (4) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
- Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries Certificate
- One (1) year leadership experience.
- Four (4) years experience with databases and spreadsheets.
At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
