Title: SENIOR LIFE ACTUARY Salary: $8,897.00 - $11,140.00 Posted: 10/01/2015
The Capitated Rates Development Division has an opening for a Permanent, Full-time Senior Life Actuary (SLA), located at 1501 Capitol Avenue, Sacramento.
Recruitment is open to all qualified applicants. Hires will be conducted within the SROA guidelines. Applications will be screened and only the most competitive applicants will be interviewed.
FINAL FILING DATE: Until Filled
SALARY: $8,897.00 - $11,140.00 **
** This salary includes a Pay Differential assigned to this classification giving incumbents an additional 10.99 percent of their base salary.
This position is pending approval by DHCS Human Resources Branch.
On your application, please state the classification for which you are applying and the Position Number (805-760-6086-xxx). Also, in the 'Explanation' Section of your application, please state the basis of your eligibility to this classification (e.g., lateral transfer, list eligibility, reinstatement, etc.). If you have SROA/Surplus status, you must provide a copy of your notification letter. Failure to follow these instructions may cause your application to not be considered for an interview. If you are not a current State employee, you must have reinstatement eligibility to this level or complete an examination with the State of California and be reachable on a list in order to be appointed.
Please click on 'Department Link' for information regarding the SLA examination and how to apply for the examination.
This position requires the incumbent to work independently on the most complex and extensive actuarial computations, certify the actuarial soundness of capitation rates, accurately appraise actuarial and statistical data, prepare difficult, technical actuarial reports and correspondence, analyze situations accurately and adopt effective courses of action.
Under the direction of the Division Chief, a CEA, this position serves as the Department’s expert in the development and use of sound actuarial methods of establishing capitation rates and related contractual reimbursement provisions for health care organizations. The Senior Life Actuary personally performs the most difficult or sensitive work. This position provides technical guidance to a professional staff consisting of Research Analyst and/or Research Program Specialist I positions.
This position is responsible for the creation of capitation rates for California’s Medi-Cal Managed Care Program, predominately associated with the work of long-term care integration. The incumbent performs the most complex actuarial research and analyses and provides professional and technical advice concerning the Medi-Cal program. Centers for Medicare & Medicaid Services (CMS) mandate that the Senior Life Actuary be a member of the American Academy of Actuaries (MAAA) and sign the certification followed by the designation MAAA. Although the actuarial duties are essentially the same for existing plan operations, the incumbent's time will predominately be spent in the work of long-term care integration.
Specific duties include, but are not limited to, the following.
40% Independently conducts and reviews the most complex actuarial analyses and computations using advanced statistical methods, computer data processing skills, and expert judgment, verifies the accuracy, adequacy, and actuarial equivalence of proposed capitation rates, prepares difficult and technical actuarial and statistical reports for Capitated Rates Development Division (CRDD) and other health service departments under capitation rate reimbursement methodology. Identifies and develops necessary actuarial data, compiling and integrating this information into a usable format. Interacts with DHCS fiscal forecasting, Department of Finance (DOF), Legislative inquiries, Medi-Cal Policy Division (MCPD), Medi-Cal Managed Care Division (MMCD), Long-Term Care Division (LTCD). Acts as lead on various actuarial projects and assists in the technical evaluation and management of the unit workload.
15% Assists and trains CRDD staff in the use of actuarial principles, methods and its analysis. Assists in the tracking and scheduling of unit tasks and projects performed by both State and contractor staff. Occasional travel may be necessary to attend conferences, training, etc.
10% Evaluates current developments in the field of actuarial science for applicability to programs administered by the Department, and recommends refinements to existing actuarial methods to CRDD, MCPD, DHCS, DOF and CMS.
10% Reviews and analyzes pertinent cost and utilization data filed by Health Care Organizations and other providers for existing actuarial methods related to capitation rate contracts.
10% Consults and coordinates with program staff, control agency staff, federal government staff, and other involved interests on all phases of capitation rate setting and related contract amendments.
5% Represents the Department in meetings with provider representatives and other agencies and makes presentations on actuarial rate setting policy and techniques as required, testifies at public hearings, legislative meetings, and judicial proceedings as necessary on behalf of DHCS.
5% Reviews, edits, interprets, and writes general correspondence and bill analyses.
5% Performs other duties as required that are within the scope of this classification.
If you are not a current or former State employee, you must first take an examination to obtain list eligibility. This does not apply to Student Assistant vacancies.
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The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation.