[ Description: Job Summary:

Key areas of responsibility include:Enterprisewide rate setting process and commercial product development for California and Hawaii.Large group rating methodology enterprisewide with corresponding actuarial rate modeling support.Large group actuarial pricing for: the California and Hawaii markets/regions, Federal Employees Health Benefits Program (FEHBP), National and Multi-State Accounts, KP employee health benefits plan (House Account).KP Individual Plan (KPIF) and Small Group - Responsible for California and Hawaii function, national leadership role.Affordable Care Act and Large Group Commercial risk adjustment, Medical Loss Ratio projections, Line of Business Reporting.Revenue and Line of Business Forecasting for the California and Hawaii markets/regions.Coach, mentor and develop actuarial staff.Promote and model actuarial and business practices across the regions consistent with KP core and desired behaviors.Provide oversight over the Kaiser Permanente Insurance Company (KPIC) actuarial functions.

Essential Responsibilities:

• Lead actuarial support for the enterprisewide rate setting process and commercial product development for California/Hawaii.
• Lead California actuarial support of all commercial large group business lines; ensure representation on Strategy groups, attendance at consultant gatherings and rate renewal meetings as required. Apply actuarial principles to support expansion strategies, mergers, acquisitions, market strategy, strategic responses to emerging competitive threats, and evaluate product development proposal (alternate funding arrangements, point of service, open access, PPO, Self-Funding and alternate funding).
• Provide leadership on the actuarial aspects of the National Pricing System (NPS) and related applications, the rate modeling process and rating factor development for the regions outside of California. NPS is an enterprisewide solution responsible for determining KPs large group rates, generating over $50 billion in annual revenue.
• Provide enterprisewide financial and strategic leadership for the Federal Employee Health Benefit Plan (FEHBP) line of business. This enterprisewide account generates approximately $5 billion of KPs total large group revenue of $50 billion.
• Provide enterprisewide actuarial leadership for the National Accounts and Multi-State line of business, including strategy development and renewal negotiations for our largest accounts and process improvements to help manage this portfolio of business.
• Lead the internal actuarial team that provides benefit consulting and rate renewal analytics for the KP Group (aka 'House Account').
• Support and partner with regional staff to analyze individual and small group product line financials to determine premium rates, margin forecasts, and other product line evaluations.
• Oversee the issue resolutions stemming from the California Department of Insurance (CDI) and the California Department of Managed Health Care (DMHC) to ensure appropriate certifications and opinions to support regulatory rate filings.
• Drive standardization of tools and processes used by regional actuaries in supporting large, individual and small group business lines, including regulatory rate filings.
• Lead the revenue and line of business forecasting for the California and Hawaii regions, commercial risk adjustment (ACA and large group) applications, medical loss ratio (MLR) projections and Line of Business Reporting.
• Represent and educate actuarial work products and methodologies to both internal and external audiences.
• Define standards of expertise, levels and dimensions of professional development and assist in training pricing staff in the use of best practice models and other industry recognized pricing tools.
• Accountable for continuous process improvements to promote best practices in actuarial rating methods and modeling while leading cross-regional, cross-functional collaborations to realize organizational strategic initiatives, operational programs, and functional goals and objectives.
• Provide oversight over the Kaiser Permanente Insurance Company (KPIC) actuarial functions.

This position has a target base salary of $305,000 to $385,000 and is eligible for incentive compensation, an executive allowance, comprehensive health, wellness, time off, savings, and retirement benefits, as well as relocation support, as applicable.
Basic Qualifications:

Experience

• A minimum ten (10) years relevant management experience (including direct people management and/or managing people as part of a project team).
• A minimum ten (10) years health plan, actuarial consulting and/or health insurance actuarial and underwriting experience.

Education

• Bachelor's degree in math, actuarial science, business, finance, economics or related discipline required.

License, Certification, Registration

• N/A

Additional Requirements:

• Candidate must possess strong actuarial and health insurance technical expertise along with leadership and communication effectiveness. Specifically, candidate must have:
• Extensive experience in health insurance leadership positions
• Demonstrated ability to negotiate "win-win" situations as it relates to business decisions
• Influence leadership skills with ability to forge partnership with other leaders; acting as strategic and trusted advisor, thought partner
• Accreditation as a health actuary (FSA and MAAA).

Preferred Qualifications:

• N/A

Primary Location: California,Oakland,Ordway
Additional Locations:

Colorado
Georgia
Hawaii
Maryland
Oregon
Scheduled Weekly Hours: 40
Shift: Day
Workdays: M-F
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Employee Group/Union Affiliation: NUE Executives|NUE|Non Union Employee
Job Level: Executive/VP
Department: Po/Ho Corp - HP PROD MGMT-Actuarial SVCS - 0308 The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: Yes, 10 % of the Time 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. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

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. Submit Interest ]