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Actuarial Analyst III Medicare Part D

Oakland, CA
Full-Time

Job Description

Job Summary:

This role will build and maintain the Part D pricing model, develops Part D bid assumptions, and supports analyses to drive strategic decision making. Individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, preparing and reviewing actuarial documentation for accuracy, and conducting product line evaluation, actuarial modeling, and financial risk and opportunity analyses.


Essential Responsibilities:
  • Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.
  • Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate.
  • Supports actuarial documentation by preparing and reviewing for accuracy and reasonability the actuarial portion of financial reports and tax returns; and responses to insurance regulations.
  • Participates in product line evaluations by conducting analysis of product line financials, pricing, reserve, valuation , cash flow analysis; and analyzing product line performance, risk, and assumptions used in product development.
  • Stays abreast of actuarial research by examining developments in standards, assumptions, competition, and the legal and regulatory environment.
  • Assesses, analyzes and interprets financial risks and opportunities by applying actuarial methods; and conducting actuarial analyses.
  • Supports collaborations with business partners by understanding the business needs; translating actuarial constructs into non-technical recommendations; and complying with the Actuarial Standards of Practice.
  • Supports actuarial modeling by developing and enhancing actuarial models; assisting with the development of alternative assumptions and forecasts using in-house models or actuarial software; and assisting with validating the data and results.

Minimum Qualifications:
  • Bachelors degree in mathematics or related field AND Minimum four (4) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.

  • Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries Certificate
Additional Requirements:
Preferred Qualifications:
  • One (1) year leadership experience.
  • Four (4) years experience with databases and spreadsheets.

PDN-a0480eff-ee4c-416c-a548-e96a5a1530db
Job Summary:

This role will build and maintain the Part D pricing model, develops Part D bid assumptions, and supports analyses to drive strategic decision making. Individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, preparing and reviewing actuarial documentation for accuracy, and conducting product line evaluation, actuarial modeling, and financial risk and opportunity analyses.


Essential Responsibilities:
  • Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.
  • Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate.
  • Supports actuarial documentation by preparing and reviewing for accuracy and reasonability the actuarial portion of financial reports and tax returns; and responses to insurance regulations.
  • Participates in product line evaluations by conducting analysis of product line financials, pricing, reserve, valuation , cash flow analysis; and analyzing product line performance, risk, and assumptions used in product development.
  • Stays abreast of actuarial research by examining developments in standards, assumptions, competition, and the legal and regulatory environment.
  • Assesses, analyzes and interprets financial risks and opportunities by applying actuarial methods; and conducting actuarial analyses.
  • Supports collaborations with business partners by understanding the business needs; translating actuarial constructs into non-technical recommendations; and complying with the Actuarial Standards of Practice.
  • Supports actuarial modeling by developing and enhancing actuarial models; assisting with the development of alternative assumptions and forecasts using in-house models or actuarial software; and assisting with validating the data and results.

Minimum Qualifications:
  • Bachelors degree in mathematics or related field AND Minimum four (4) years actuarial experience. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.

  • Associate of the Casualty Actuarial Society Certificate OR Associate of the Society of Actuaries Certificate
Additional Requirements:
Preferred Qualifications:
  • One (1) year leadership experience.
  • Four (4) years experience with databases and spreadsheets.

PDN-a0480eff-ee4c-416c-a548-e96a5a1530db

About Kaiser Permanente

At Kaiser Permanente, we’re all focused on helping people and providing high-quality, affordable health care services and to improve the health of our members and the communities we serve. Across our organization, we’re fiercely committed to our members, our mission, our communities, and each other. We know that each part of the Kaiser Permanente team is essential to our success. Together, we are more than 235,000 dedicated professionals working to advance Kaiser Permanente’s commitment to delivering a healthier tomorrow.

Driven by our collective passion at Kaiser Permanente, we strive to make health care more innovative and compassionate. With the wellness of our patients and our communities at heart, we work to revolutionize health and care from more than 650 locations in 8 states and D.C.

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Actuarial Analyst III Medicare Part D
Kaiser Permanente
Oakland, CA
Nov 5, 2025
Full-time
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