Participates in all facets of financial model design, including reserving, rate analysis, and actuarial data mart development.
Provides guidance on utilization, product pricing including benefit design, contracting, premium revenue, and trend forecasting.
Monitors and reports on the performance of each business line, including Medicare Advantage and preferred provider organization health care plans.
Participates as a key financial expert on Sutter Health's customer-facing negotiation team.
Contributes to new business activities and new methods of delivering health benefits.

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
Knowledge of Actuarial Standards of Practice (ASOP)
Knowledge of generally accepted accounting principles (GAAP)
Extensive knowledge of health actuarial processes including pricing, valuation, and budgeting/forecasting
Thorough knowledge of healthcare delivery systems, integrated delivery systems and medical group practices
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
Knowledge 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
Ability to provide innovative solutions to complex problems
Proficiency in actuarial and statistical software packages including SQL and Excel Visual Basic (VBA) skills

Actuary

Key skills