Actuarial Services Director jobs in Oakland, CA

Actuarial Services Director directs the activities of an organization's actuarial function. Oversees the analysis and evaluation of potential risks to determine the financial impacts of new or existing insurance plans. Being an Actuarial Services Director develops policies, procedures, and formulas to guide statistical analysis and actuarial research and evaluate the likelihood and financial impact of various risks. Designs processes and guidelines to ensure regulatory compliance of products and financial operations. Additionally, Actuarial Services Director leads the design and development of insurance products by evaluating and approving insurance rates, premium levels, and rating systems and structures. Oversees the preparation of actuarial reports, financial statements, and regulatory filings and develops financial budgets, forecasts, and other financial projections. Researches and selects major rating assumptions to support accurate statistical analysis and evaluates the effectiveness of existing formulas. Evaluates product performance against established profitability targets and recommends modifications. Applies knowledge of mathematics, probability, statistics, principles of finance and business to calculations in life, health, social, and casualty insurance, annuities, and pensions. Requires a bachelor's degree. May require Associate of Society of Actuaries (ASA). May require Fellow of Society of Actuaries (FSA). Typically reports to senior management. The Actuarial Services Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be an Actuarial Services Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Senior Director Risk Actuarial Services - Remote
  • Paradigm
  • Walnut Creek, CA FULL_TIME
  • RESPONSIBILITIES:   Manage the measuring, monitoring, and analyses of historical contract performance to ensure product profitability. Direct all actuarial activities, including data collection, data integrity, and actuarial and risk models. Effectively design and develop pricing and risk models for diagnostic specific populations. Effectively design and develop pricing constructs with Finance and others. This should include models that will meet the needs of all customer types and verticals, i.e., health plans, HMOs, self-insured, reinsurance, and workers compensation and be applicable across complex medical conditions including comorbidities and other risk factors. Provide training and development to staff on the design and development of pricing and risk models. Implement underwriting standards and provide recommendations for efficiencies. Analyze and model historical paid claims trends to support contract reserve requirements for existing booked business (in aggregate and for each product type and business line). Work with detailed health care claims data to build and maintain actuarial models to support operational processes. Provide guidance on creation of visually appealing and accurate deliverables, including self-service capabilities. Collaborate with key stakeholders to identify and develop business questions for analytic investigation and modeling. Utilize applicable data/analytical tools to extract and analyze data (e.g., SAS, SQL, Excel, Power BI)   SUPERVISORY RESPONSIBILITIES:   Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback. Ensure all team members understand, are trained in, and comply with Paradigm’s security requirements and policies. Ensure all team members have the minimum level of IT system access required to effectively complete their Paradigm responsibilities.    QUALIFICATIONS: Actuarial Credential (ASA required)  5 years of experience collaborating with cross functional partners and presenting analytical findings to senior leadership and stakeholders. Advanced proficiency in MS Excel, and experience designing and running complex data programs, (e.g., extract and analyze data via R, SAS, SQL, Python, PowerBI, VBA). 5 years of experience in the Healthcare, Finance, or related industry  5 years of experience as a people manager with project oversight experience 5 years of experience with health care claims data and analyses 5 years of experience with health care claims forecasting
  • 13 Days Ago

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Director of Nutritional Services - Oakland
  • Rockport Healthcare Services
  • Oakland, CA FULL_TIME
  • Principal Responsibilities:CLINICAL• Ensures the timely preparation and delivery of nutritious and attractive meals and supplements to all residents according to physician’s order and in compliance wi...
  • 8 Days Ago

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Director of Nursing Services RN Registered Nurse - Princeton
  • Rockport Healthcare Services
  • Oakland, CA FULL_TIME
  • Director of Nursing Services RN Registered Nurse Position Description: Under the direction of the Administrator, the Director of Nursing Services RN (Registered Nurse) is responsible for the administr...
  • Just Posted

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Director of Nursing Services RN Registered Nurse - Alameda
  • Rockport Healthcare Services
  • Alameda, CA FULL_TIME
  • Director of Nursing Services RN Registered Nurse Position Description: Under the direction of the Administrator, the Director of Nursing Services RN Registered Nurse is responsible for the administrat...
  • 14 Days Ago

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Director of Nursing Services RN Registered Nurse - Alameda
  • Rockport Healthcare Services
  • Alameda, CA FULL_TIME
  • Director of Nursing Services RN Registered Nurse Position Description: Under the direction of the Administrator, the Director of Nursing Services RN Registered Nurse is responsible for the administrat...
  • 14 Days Ago

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Actuarial Analyst, Associate
  • BSC
  • Oakland, CA FULL_TIME
  • Your Role The Network Trend Analytics team is responsible for performing financial modeling and analytics for provider contract negotiations for hospitals and ambulatory surgery centers. The Associate...
  • 4 Days Ago

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0 Actuarial Services Director jobs found in Oakland, CA area

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Underwriter - Large Group, Consultant
  • Blue Shield Of California
  • Oakland, CA
  • Your Role The Premier Underwriting team manages the pricing of medical, dental, vision, and life products for employer g...
  • 4/25/2024 12:00:00 AM

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Claims Specialist Supervisor - Hybrid Remote
  • VetJobs
  • Alameda, CA
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/25/2024 12:00:00 AM

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Claims Specialist - Hybrid Remote
  • VetJobs
  • Alameda, CA
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/25/2024 12:00:00 AM

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REMOTE: Medical Director, Utilization Management and Medical Policy
  • Evry Health
  • San Jose, CA
  • About the Role Evry Health is hiring a tech-savvy Medical Director to lead medical policy and utilization management. As...
  • 4/24/2024 12:00:00 AM

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Scheduler/Claims Analyst
  • Ghirardelli Associates
  • At Ghirardelli Associates we take pride in the accomplishments of our Associates and the environment that we foster. As ...
  • 4/24/2024 12:00:00 AM

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Safety and Compliance Manager
  • California Waste Solutions
  • Oakland, CA
  • Job Description Job Description Position: Safety and Compliance Manager Reports to: Chief Operations Officer Overview Th...
  • 4/23/2024 12:00:00 AM

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Senior Director, Data Science & Analytics (Hybrid)
  • Homeward
  • San Francisco, CA
  • Homeward is a technology-enabled healthcare provider delivering quality, affordable and comprehensive care to those who ...
  • 4/21/2024 12:00:00 AM

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Underwriter - Large Group, Consultant
  • Blue Shield of California
  • Oakland, CA
  • Your Role The Premier Underwriting team manages the pricing of medical, dental, vision, and life products for employer g...
  • 4/21/2024 12:00:00 AM

Oakland is in the eastern region of the San Francisco Bay. In 1991 the City Hall tower was at 37°48′19″N 122°16′21″W / 37.805302°N 122.272539°W / 37.805302; -122.272539 (NAD83). (The building still exists, but like the rest of the Bay Area, it has shifted northwest perhaps 0.6 meters in the last twenty years.) The United States Census Bureau says the city's total area is 78.0 square miles (202 km2), including 55.8 square miles (145 km2) of land and 22.2 square miles (57 km2) (28.48 percent) of water. Oakland's highest point is near Grizzly Peak Blvd, east of Berkeley, just over 1,760 feet (...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Actuarial Services Director jobs
$359,680 to $505,276
Oakland, California area prices
were up 4.5% from a year ago

Actuarial Services Director in Spokane, WA
Responsible for stat and federal filings including actuarial certification.
December 28, 2019
Actuarial Services Director in Lafayette, LA
JOB SUMMARYThe Manager of Actuarial Services will serve under the general direction of the VP of Finance and is responsible for supervising, gathering and evaluating membership claims and premium data for ratemaking, budgeting, benefits, trends, provider networks, etc.
December 26, 2019
Actuarial Services Director in Grand Forks, ND
Applying probability and statistics to the practical problems of insurance, our actuarial team performs a variety of duties, including calculating the cost of premiums and policy values, preparing statistical studies, and forecasting financial results.
February 20, 2020