Actuary

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🕒 July 1

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Logo of Sutter Health

Sutter Health

10,000+ employees

Founded Sutter Health was founded in 1996.

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

💰 Grant on 2016-11

Healthcare • Healthcare Insurance • Non-profit

Sutter Health is a not-for-profit health system serving Northern California, offering a wide range of healthcare services. It provides comprehensive primary and specialty care, including mental health, oncology, orthopedics, women's health, and more. The organization supports both in-person and virtual visits, ensuring accessibility to its services. Sutter Health is also involved in medical research, education, and offers various health plans, including Sutter Health Plus. It emphasizes innovative, compassionate care and maintains a network of hospitals, medical groups, and other health providers across Northern California.

📋 Description

• 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 • 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 • Partners with information services (IS) to ensure data integrity and integration of the health rules platform

🎯 Requirements

• 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 • Thorough knowledge of healthcare delivery systems, integrated delivery systems and medical group practices • Extensive knowledge of core health actuarial processes including pricing, valuation, and budgeting/forecasting • Advanced knowledge of key operational functions of a health plan • Proficiency in SQL and Excel Visual Basic (VBA) skills

🏖️ Benefits

• Health insurance • Comprehensive benefits package

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