Data Reporting and Analytics Consultant VI, Actuarial Services - Medicare

Candidates from any KP location in CA, OR, CO, WA, GA, MD, VA, HI or D.C. Only.

Job Summary:
In addition to the responsibilities listed below, this senior technical/functional leader role is also responsible for driving the design and development of product line evaluations by interpreting and communicating findings of product line financial analysis to senior leadership; interpreting product line performance, risk, and assumptions used in product development; and assessing, analyzing, and interpreting financial risks and opportunities using complex non-traditional actuarial methods and actuarial judgement. This role is also responsible for monitoring the completion of actuarial documentation by reviewing the actuarial portion of financial reports and tax returns; and presenting results internally to executive leadership.

Additionally, this role is responsible for promoting close collaboration with business partners to translate complex actuarial constructs into actionable recommendations, creating a framework and assumptions for new, existing, and non-traditional actuarial models to meet emerging business needs, and proactively developing actuarial research by designing complex methods to advance standards, assumptions, and the legal and regulatory environment.

Essential Responsibilities:

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides actionable feedback to others, including upward feedback to leadership; influences, mentors, and coaches team members. Practices self-leadership; creates, evaluates, and responds to the strengths and weaknesses of self and unit or team members. Leads the adaptation to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Fosters open dialogue amongst team members.
• Drives the execution of multiple work streams by identifying member and operational needs; translates business strategy into actionable business requirements; develops and updates new procedures and policies. Gains cross-functional support for objectives and priorities; determines and carries out processes and methodologies; solves highly complex issues; escalates and resolves issues as appropriate; sets standards and measures progress. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; influences the completion of project tasks by others.
• Leads data and information collection on targeted variables in an established systematic fashion by validating data sources; querying, merging, and extracting data across internal and external sources; leading routine data refresh and update; leading the development and/or delivery of highly complex tools for electronic data collection; and providing senior-level user training, support, and documentation.
• Leads data preparation for analytic efforts by integrating and consolidating data; ensuring data quality and accuracy; profiling data inaccuracies and recommending process improvements or system changes to enhance overall quality of the data; partnering with stakeholders and source system owners to identify root causes and resolve data quality issues as appropriate; and cleaning and creating final data set(s) for analysis.
• Leads and drives the execution of creative data analytic approaches leading to actionable outcomes across functional areas, business and/or clinical lines by reviewing data design and analysis of more junior employees; defining and calculating complex metrics to be analyzed; defining, calculating, and validating algorithms; leading and conducting complex analyses, including inferential and/or predictive statistics.
• Leads the design, roadmap development, implementation, and automation of business and reporting solutions by partnering with key stakeholders to advise in their design, planning, and implementation while ensuring consistency and coherency; reviewing data and results; designing data reports, visualizations, and/or interactive Business Intelligence (BI) reports; reporting to stakeholders on key findings; identifying needs for the development and implementation of additional reporting solutions; and ensuring completion of documentation as appropriate.
• Leads highly complex data analysis interpretation by providing support to team on data interpretation; applying findings to contextual settings; and developing insights, reports, and presentations telling a compelling story to stakeholders to enable and influence decision making; leading peer reviews; providing context related to data interpretations and/or limitations as appropriate; and sharing insights with internal and/or external subject matter experts.
• Consults and provides expertise on the development of advanced analytical and/or statistical models enabling informed business decisions by determining data and analytical requirements; translating models and gaining stakeholder buy-in for implementation; providing support in the creation of models leading to actionable insights; and testing, refining, and validating models.
• Drives and leads strategic data-informed decisions by consulting with senior-level clients and executive leadership to identify and clarify key business needs across functional areas, business and/or clinical lines; leading the development of outcomes and process measures; translating complex business requirements; determining data/information needs and data collection methods; leading and guiding the development of complex analysis plans; evaluating the impact of business decisions on clients, customers, and/or members; building and leveraging partnerships with clients and staff to identify opportunities and methods to improve efficiencies with analysis; ensuring end-users are supported and trained; and reviewing documentation of processes and deliverables.

Minimum Qualifications:

• Minimum eight (8) years experience providing actuarial support.
• Minimum five (5) years of experience in a leadership role with or without direct reports.
• Bachelors degree in Mathematics, Statistics, Engineering, Social/Physical/Life Science, Business, or related field AND minimum ten (10) years experience in data analytics or a directly related field OR Minimum thirteen (13) years of experience in data analytics or a directly related field.

Additional Requirements:

• Knowledge, Skills, and Abilities (KSAs): Negotiation; Business Planning; Written Communication; Data Extraction; Data Mining; Data Visualization Tools; Statistical Programming Language; Relational Database Management; Vendor Management; Project Management

Preferred Qualifications:

• Three (3) years of experience in retirement benefit plan valuation, financial reporting, or other pension-related actuarial area of responsibility involving risk assessment and quantification, or any combination of above specialized areas.
• Three (3) years of experience in pricing, rate filing, IBNR, provider contracting, financial forecasting, or any other health-related actuarial area of responsibility.

Primary Location: California,Oakland,Ordway
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Flexible
Employee Status: Regular
Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Po/Ho Corp - HP PROD MGMT-Actuarial SVCS - 0308
Pay Range: $183100 - $236940 / year Kaiser Permanente is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills and geographic location along with a review of current employees in similar roles to ensure that pay equity is achieved and maintained across Kaiser Permanente.
Travel: No
Flexible: Work location is on-site at a KP location, with the flexibility to work from home. Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.