Job Description

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

This position is responsible for providing actuarial analytic support to various departments and company key initiatives. Serves as a technical consultant and SME to financial analysts and, other departments and on projects.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

Competitive salary.
Telecommute schedule.
State of the art fitness center on-site.
Medical Insurance with Dental and Vision.
Life, short-term, and long-term disability options
Career advancement opportunities and professional development.
Wellness programs that promote a healthy work-life balance.
Flexible Spending Account – Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance

Key Responsibilities

Leads on-going analyses of financial, budgetary or medical claims data, through forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment. Identifies key issues and trends and brings them to the attention of higher-level staff members. Uses professional concepts and internal policies and procedures to solve problems or provide suggestions.

Builds financial models to support operational initiatives and analytical endeavors and enable decision-making on business and strategic matters. Quantifies the financial impact of opportunities or expenditures. Tests and reconciles all financial models and analytic results. Provides on-going financial analyses. Consolidates a wide-range of operating and financial projections for the development of short- and long-term business plans.

Works on complex financial analysis projects more independently and under supervision of a more senior staff member if required. Monitors, analyzes and evaluates complex data using statistical tools to identify variances, problems and trends. May be responsible for bigger projects.

Generates and distributes regularly scheduled actuarial reports. Reviews and organizes actuarial and operational data for reports. Utilizes statistical tools to monitor and provide ongoing analysis of these reports, noting any aberrant data. May be responsible in the preparation of complex reports.

Participates or leads in a variety of special studies and ad hoc analyses in support of departmental business and/or clinical objectives.

Researches and resolves data integrity issues. Works independently or with other departments to solve problems.

Acts as a resource to staff in other departments, providing information and explanations related to financial data as needed. Answers most questions and refers highly complex issues to others.

May participate in workgroups or meetings. Communicates and presents financial analyses and models to appropriate audiences.

May assist in training staff on the use of financial reports and data.

Performs a variety of ad hoc data and actuarial analysis requests.

Qualifications

Education & Requirements

Four (4) years of actuarial experience required
- Will accept three (3) years of actuarial experience with completed ASA credential in lieu of full four (4) year work experience requirement
Healthcare and/or Medicaid experience is preferred
Bachelor’s degree from an accredited institution required
Passed at least four (4) SOA exams and plans to continue taking exams

Key Qualifications

SQL Programming knowledge is preferred
Excellent interpersonal and communication skills (both oral & written)
Ability to work independently and take initiative. Extremely organized, sharp attention to detail, strong work ethic, and expansive learner. Ability to identify and resolve problems, think creatively, strategically, and analytically
Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership

Start your journey towards a thriving future with IEHP and apply TODAY!

Work Model Location

Telecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)

Pay Range

USD $104,041.60 - USD $137,841.60 /Yr.

About IEHP

With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the top 10 largest Medicaid health plans, the largest not-for-profit Medicare-Medicaid public health plan in the country, and for the fourth year in a row, certified as A Great Place To Work®. Founded in 1996, IEHP supports more than 1.5 million Riverside and San Bernardino County residents enrolled in Medicaid or IEHP DualChoice (those with both Medi-Cal and Medicare). As of 2024, IEHP also offers Covered California plans, further ensuring health care access for even more IE residents. Today, IEHP has a robust network of quality doctors throughout our two counties and nearly 4,000 team members who are fully committed to the vision: We will not rest until our communities enjoy optimal care and vibrant health. To learn more, go to iehp.org.

Comprehensive Benefits

Competitive salary and a benefits package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and retirement plan.

Mission: To heal and inspire the human spirit.

Vision: We will not rest until our communities enjoy optimal care and vibrant health.

Values: We do the right thing by: Placing our Members at the center of our universe; unleashing our creativity and courage to improve health and well-being; bringing focus and accountability to our work; and never wavering in our commitment to our Members, Providers, Partners, and each other.

Winning Team Culture

Certified as A Great Place To Work® four years in a row.

Industry

Healthcare & Social Services

Company Size

1,001-5,000 employees

Headquarters

Rancho Cucamonga, CA

Year Founded

1995

Website

iehp.org

Social Media

Analyst III - Actuarial Services