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 Director is responsible for pricing, performance management, and forecasting for IEHP’s Medicare and Commercial (i.e., Covered CA) line of business. This includes, but not limited to, the development of product analytics to define and measure the financial performance and providing actuarial support to other business units for the two lines of business. This position collaborates with other IEHP business units in planning and developing strategies to maximize the financial performance. This leader will oversee credential actuaries and actuarial team members to support the department functions, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
1. Lead development of pricing, experience analysis, and financial forecast modeling for all lines of business.
2. Develop product analytics to define and measure financial performance.
3. Lead actuarial function on Medi-Cal Rate Development Template (RDT) support and other state date requests.
4. Perform Medi-Cal revenue rate analysis and serve as Subject Matter Expert (SME) for Medi-Cal rate advocacy.
5. Oversees development for Medicare bids, regulatory rate filings and other required regulatory submissions for the assigned lines of business.
6. Collaborate with IEHP business units in planning and developing strategies to maximize the financial performance.
7. Communicate clearly and present appropriate level of information to senior leaders.
8. Research, evaluate and analyze the market landscape for the assigned lines of business.
9. Lead a team of analysts to ensure cohesive team culture and effective collaboration with other business units.
10. Manage the respective actuarial service unit including recruiting, training, and coaching Team Members.
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.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
Education & Experience
Key Qualifications
Start your journey towards a thriving future with IEHP and apply TODAY!
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