About this role
Salary Range: $145,844.00 (Min.) - $193,243.00 (Mid.) - $240,643.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Job Summary
The Actuary III plays a pivotal role in driving financial accuracy, analytical rigor, and strategic insight across all lines of business (LOBs). This position is responsible for leading complex actuarial analyses and modeling efforts, ensuring the company’s financial reporting and rate development processes are robust, transparent, and aligned with organizational goals. Acts as a Subject Matter Expert (SME), serves as a resource and mentor for other staff.
Duties
Assist in monthly financial reporting by preparing, reviewing, and validating actuarial inputs.
Perform data-intensive and complex actuarial analyses to inform business decisions and identify emerging trends.
Lead critical actuarial modeling projects across all LOBs, ensuring accuracy and innovation in methodologies.
Identify, design, and implement key actuarial reports that require routine updates to support ongoing business needs.
Train and mentor actuarial staff, fostering professional growth and ensuring consistency in actuarial practices.
Provide expert actuarial input into rate development, supporting competitive and financially sound pricing strategies.
Contribute to other actuarial and cross-functional projects as needed, offering analytical expertise and business acumen.
Apply subject matter expertise in evaluating business operations and processes. Identify areas where technical solutions would improve business performance. Consult across business operations, provide mentorship, and contribute specialized knowledge. Ensure that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provide training and recommend process improvements as needed.
Perform other duties as needed.
Duties Continued
Education Required
Education Preferred
Experience
Required:
At least 7 years of experience in the Actuarial Department of a health insurance, Health Maintenance Organization (HMO), health plan, or government health company.
Skills
Required:
Advanced actuarial modeling skills with expertise in forecasting, risk adjustment, rate setting, and financial projection methodologies.
Ability to interpret large, complex data sets and translate findings into actionable insights for executive decision-making.
Skilled at developing and improving actuarial methodologies, models, and documentation to enhance accuracy, efficiency, and audit readiness.
Strong ability to translate complex actuarial concepts into clear, concise narratives for non-actuarial stakeholders.
Ability to manage multiple priorities in a fast-paced environment while ensuring accuracy and timeliness of deliverables.
Advanced analytical skills.
Advanced knowledge and skills in Excel.
Proficient in software and programming tools such as SQL, Python, R, and SAS.
Excellent verbal, written and interpersonal communication skills.
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
Additional Information
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
Other facts
About L.A. Care Health Plan
L.A. Care’s mission is to provide access to quality health care for L.A. County’s low-income communities, and to support the safety net required to achieve that purpose. As a publicly operated health plan, L.A. Care Health Plan serves more than 2.6 million members in Los Angeles County, making it the largest publicly operated health plan in the country. L.A. Care offers four health coverage plans including Medi-Cal, L.A. Care Covered™, L.A. Care Medicare Plus and the PASC-SEIU Homecare Workers Health Care Plan, all dedicated to being accountable and responsive to members. L.A. Care prioritizes quality, access and inclusion, elevating health care for all of L.A. County. For more information, follow us on X, Facebook, LinkedIn, Instagram and YouTube.
To learn more, visit www.lacare.org.
*For urgent inquiries: 1-888-4LA-CARE (1-888-452-2273)
What you'll do
- The Actuary III is responsible for leading complex actuarial analyses and modeling efforts, ensuring financial reporting and rate development processes are robust and aligned with organizational goals. This role also involves mentoring staff and providing expert input into rate development and business operations.
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