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Director, Actuarial Services at L.A. Care Health Plan

Los Angeles, California, United States - Full Time

Skills Needed
Actuarial Services, Staff Management, Rate Negotiations, Financial Reporting, Budgeting, Data Analysis, Regulatory Position Development, Project Planning, Medi Cal Rates, Medicare Rates, Ibnr Reserving, Rate Development Template, Excel Spreadsheets, Verbal Communication, Written Communication, Interpersonal Communication

Specialization
Candidates must possess a Bachelor's Degree in Mathematics or a related field, with at least 8 years of actuary work experience in a health plan under a credentialed MAAA actuary, including 6 years of supervisory experience. Required expertise includes deep knowledge of DHCS/Mercer, Covered CA, and Medicare rating methods, and direct involvement in budgeting, IBNR reserving, and Rate Development Template submissions.

Experience Required
Minimum 5 year(s)

Clinical Services Supervisor at SAFE PLACE FOR YOUTH

Venice, Veneto, Italy - Full Time

Skills Needed
Clinical Program Oversight, Contract Compliance, Grant Outcomes Measurement, Substance Counseling, Mental Health Counseling, Behavioral Health Services, Supervision, Trauma Informed Care, Hipaa Standards, Performance Evaluation, Budget Management, Crisis Intervention, Community Partnerships, Reporting, Leadership, Harm Reduction

Specialization
Candidates should possess a Master's degree in Social Work or CCAPP certification, along with a minimum of two years of direct care experience demonstrating strong clinical and leadership skills. Essential requirements include advanced knowledge of trauma-informed and harm reduction models, commitment to equity, and excellent communication skills for working in a diverse, fast-paced environment.

Experience Required
Minimum 2 year(s)

Foreman, Electrical Services at Burhani Engineers

Nairobi, , Kenya - Full Time

Skills Needed
Electrical Installation, Testing, Commissioning, Troubleshooting, Team Leadership, Project Supervision, Safety Compliance, Lv & Mv Switchboards, Mcc Panels, Switchgear, Blueprint Interpretation, Resource Management, Quality Control, Electrical Troubleshooting, Communication, Problem Solving

Specialization
Candidates must possess a Diploma or Degree in Electrical Engineering and a minimum of 5 years of hands-on experience specifically with LV & MV switchboards, MCCs, and switchgear installation and testing. Strong proficiency in electrical installation, troubleshooting, team leadership, and interpreting technical drawings according to IEC guidelines is essential.

Experience Required
Minimum 5 year(s)

Environmental Services Worker at HealthCareersInSask.ca

Meadow, South Dakota, United States - Full Time

Skills Needed
Computer Skills, Ability To Work Independently

Specialization
Candidates must possess Grade 10 education and basic computer skills, along with the ability to work independently. Applicants must also be available for a minimum of twenty-four hours per three-week period, covering all shifts, short notice calls, statutory holidays, and holidays.

Senior Executive, HR Services at NTUC INCOME INSURANCE COOPERATIVE LIMITED

, , Singapore - Full Time

Skills Needed
Data Entry, Transaction Processing, Data Accuracy, Policy Compliance, Data Privacy, Hris Support, User Acceptance Testing, Sla Management, Reporting, Process Improvement, Stakeholder Management, Analytical Mindset, Communication, Root Cause Analysis, Standardisation, Automation

Specialization
Candidates must possess a Diploma or Bachelor's degree in HR or Business Administration, coupled with 3 to 5 years of experience in HR Shared Services, HR Operations, or HRIS support. Essential qualifications include strong knowledge of HR processes, proficiency in Excel, and excellent attention to detail and stakeholder management skills.

Experience Required
Minimum 2 year(s)

Health Educator HIV Services at Imperial Beach Community Clinic

Imperial Beach, California, United States - Full Time

Skills Needed
Hiv/Sti Education, Prep Navigation, Adherence Counseling, Patient Follow Up, Outreach, Testing Assistance, Care Coordination, Insurance Navigation, Hipaa Compliance, Data Collection, Cultural Competency, Spanish Communication, Independent Work, Team Collaboration, Public Speaking

Specialization
Candidates should ideally have 5 years of experience in HIV/STI prevention or community health programs and must be certified or willing to become certified in HIV/STD testing within 30 days of hire. Preferred qualifications include knowledge of the local community and the ability to communicate effectively in both English and Spanish.

Experience Required
Minimum 5 year(s)

Custodian (Library Services) at Hillsborough County Board of County Commissioners

Tampa, Florida, United States - Full Time

Skills Needed
Custodial Duties, Cleaning Supplies Knowledge, Safety Procedures Knowledge, Guidance, Training, Direction, Planning, Organizing, Supervising, Teamwork, Communication, Record Keeping

Specialization
Minimum qualifications require the completion of the tenth grade along with one year of experience in custodial duties. Candidates must possess knowledge of cleaning supplies and safety procedures, along with the ability to plan, organize, supervise others, and communicate effectively.

Client Services Coordinator* at Community Medical Services

Mesa, Arizona, United States - Full Time

Skills Needed
Client Interaction, Scheduling, Walk In Intake, Client Concerns, Professionalism, Compassion, Trauma Informed Approach, Electronic Health Record, Insurance Verification, Payment Collection, Confidentiality, De Escalation, Triage, Office Organization, Incident Reporting, Communication

Specialization
Candidates must possess a High School Diploma/GED and have at least one year of experience in customer service and one year of front desk experience, preferably in a hospital or multi-physician setting. A valid driver's license and MVR clearance are required for applicants in specific states (TX/OH/MN/IN/WI).

Investment Services Assistant at Pentucket Bank

Salem, New Hampshire, United States - Full Time

Skills Needed
Client Service, Compliance, Account Paperwork Preparation, Profile Maintenance, Service Requests, Transactional Requests, Customer Communication, Training Coordination, Audit Procedures, Sales Referral, Attention To Detail, Record Keeping, Risk Management, Bsa Compliance, Organizational Skills, Communication Skills

Specialization
A High school diploma or equivalent is required, though insurance and securities licenses are preferred or must be obtained within two years. Candidates should possess a minimum of 2-3 years of experience in administrative, investment services, or financial operations, coupled with strong organizational, communication, and technology skills.

Experience Required
Minimum 2 year(s)

Director of Resident Services at Rose Senior Living at Providence Park

Addison, Illinois, United States - Full Time

Skills Needed
Relationship Building, Problem Solving, Resource Locating, Needs Evaluation, Continuum Of Care Management, Cross Functional Departmental Support, Risk Management, Resident Retention, New Resident Orientation, Care Coordination, Health Plan Benefits Understanding, Record Maintenance, Confidentiality Assurance, Service Provider Management, Health Education Planning, Budget Management

Specialization
Preferred qualifications include graduation from an accredited school of nursing with an LPN or RN license, and experience or education in Social Work. Candidates should possess three to five years of experience in long-term care or a similar healthcare setting, along with organizational or management experience.

Experience Required
Minimum 2 year(s)

Merchant Services Underwriter at FFB Bank

Fresno, California, United States - Full Time

Skills Needed
Credit Assessment, Risk Assessment, Fraud Screening, Underwriting Tools, Card Network Rules, Regulatory Requirements, Due Diligence, Quality Assurance, Process Improvement, Communication, Time Management, Teamwork, Problem Solving, Financial Statement Analysis, Microsoft Office, Kyc/Kyb Standards

Specialization
Candidates need a high school diploma (bachelor's degree preferred) and 1–2 years of related merchant services underwriting experience is preferred, along with basic analytical skills and knowledge of financial statement analysis. Proficiency in Microsoft Office and familiarity with KYC/KYB standards, credit analysis, and regulatory compliance are essential.

PROGRAMMING SERVICES OFFICER at State of careers Rhode Island

, , United States - Full Time

Skills Needed
Program Management, Research, Data Analysis, Supervision, Budgeting, Public Relations, Report Writing, Policy Evaluation, Compliance, Standard Operating Procedures, Strategic Planning, Operational Analysis

Specialization
Candidates must possess a bachelor's degree in business management, social sciences, or a related field, along with experience in a supervisory role within a public or private agency. A thorough knowledge of program management principles and the ability to analyze data and forecast program needs are required.

Experience Required
Minimum 5 year(s)

Merchant Services Underwriter at FFB Bank

, California, United States - Full Time

Skills Needed
Credit Assessment, Risk Assessment, Underwriting Policies, Card Network Rules, Regulatory Requirements, Fraud Screening, Due Diligence, Quality Assurance, Process Improvement, Communication, Time Management, Teamwork, Conflict Resolution, Data Interpretation, Analytical Skills, Problem Solving

Specialization
A high school diploma or equivalent is required, though a bachelor's degree is preferred, along with a minimum of 1–2 years of related experience in merchant services underwriting. Candidates must possess basic analytical skills, knowledge of KYC/KYB standards, credit analysis, regulatory compliance, and proficiency in Microsoft Office and navigating underwriting platforms.

Financial Services Specialist at Loma Linda

San Bernardino, California, United States - Full Time

Skills Needed
Registration, Eligibility Verification, Benefits Verification, Authorization Procurement, Demographics Entry, Communication, Interpersonal Skills, Hmo Knowledge, Ppo Knowledge, Medical Knowledge, Medi Cal Knowledge, Ccs Knowledge, Critical Thinking, Organization, Prioritization, Problem Solving

Specialization
A High School Diploma or GED is required, along with a minimum of two years of experience in authorization, registration, or insurance verification within a medical group or hospital setting. Candidates must possess knowledge of various health insurance networks and demonstrate strong communication, organizational, and critical thinking skills.

Special Services Coordinator at 4M Building Solutions

Lansing, Michigan, United States - Full Time

Skills Needed
Pressure Washing, Window Cleaning, Floor Stripping, Floor Waxing, Floor Scrubbing, Burnishing, Construction Cleaning, Leadership, Management, Customer Service, Communication, Time Management, Problem Solving, Teamwork

Specialization
Candidates must have prior experience with industrial cleaning machinery and possess leadership or management experience. A successful background check and drug screening are required, along with reliable transportation.

Experience Required
Minimum 2 year(s)

Special Services Coordinator at 4M Building Solutions

Bay City, Michigan, United States - Full Time

Skills Needed
Pressure Washing, Exterior Window Cleaning, Construction Cleaning, Floor Stripping, Floor Waxing, Floor Burnishing, Floor Scrubbing, Carpet Cleaning, Leadership, Customer Service, Communication Skills, Time Management, Problem Solving

Specialization
Candidates must have prior experience with industrial cleaning machinery and possess leadership or management experience. A successful background check, drug screening, and reliable transportation are mandatory requirements for the role.

Experience Required
Minimum 2 year(s)

Special Services Coordinator at 4M Building Solutions

Grand Rapids, Michigan, United States - Full Time

Skills Needed
Pressure Washing, Window Cleaning, Floor Stripping, Floor Waxing, Floor Scrubbing, Carpet Cleaning, Leadership, Customer Service, Communication, Time Management, Equipment Maintenance, Janitorial Services

Specialization
Candidates must be at least 18 years old and possess prior experience in leadership and the operation of industrial cleaning machinery. A successful background check, drug screening, and reliable transportation are mandatory for this position.

Experience Required
Minimum 2 year(s)

Manager of Business Services at HAYMARKET CENTER

Chicago, Illinois, United States - Full Time

Skills Needed
Purchasing, Procurement, Vendor Management, Invoice Reconciliation, Supply Chain Management, Budget Monitoring, Data Entry, Administrative Support, Negotiation, Inventory Management, Scheduling, Financial Reporting, Communication, Teamwork

Specialization
The candidate must be able to handle business operations, manage supply orders, and assist with administrative tasks such as mail distribution and travel arrangements. Strong organizational skills and the ability to work effectively within a team environment are required.

Experience Required
Minimum 2 year(s)

Patient Services Coordinator at PT Solutions

Blooming Grove Township, Pennsylvania, United States - Full Time

Skills Needed
Insurance Verification, Prior Authorization, Patient Communication, Administrative Support, Hipaa Compliance, Payment Reconciliation, Customer Service, Scheduling, Referral Coordination, Data Entry, Billing Support

Specialization
Candidates must possess a minimum of a High School diploma or GED. Additionally, 1-2 years of customer service experience, preferably in a healthcare setting, is required.

Patient Services Coordinator at PT Solutions

, North Carolina, United States - Full Time

Skills Needed
Insurance Verification, Prior Authorization, Patient Scheduling, Customer Service, Hipaa Compliance, Payment Reconciliation, Administrative Support, Communication, Data Entry, Healthcare Administration

Specialization
Candidates must possess at least a High School diploma or GED. A minimum of 1-2 years of customer service experience is required, with preference given to those with a healthcare background.

Director, Actuarial Services at L.A. Care Health Plan

Los Angeles, California, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Jun, 26

Salary

254152.0

Posted On

08 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Actuarial Services, Staff Management, Rate Negotiations, Financial Reporting, Budgeting, Data Analysis, Regulatory Position Development, Project Planning, Medi-Cal Rates, Medicare Rates, IBNR Reserving, Rate Development Template, Excel Spreadsheets, Verbal Communication, Written Communication, Interpersonal Communication

Industry

Hospitals and Health Care

Description

Salary Range: $149,502.00 (Min.) - $201,827.00 (Mid.) - $254,152.00 (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 Director, Actuarial Services is responsible for the overall management and oversight of staff for all Actuarial tasks. This position is responsible for determining the priorities of requests to Actuarial from within the company as well as from government agencies (Department of Health Care Services (DHCS), Center for Medicare and Medicaid Services (CMS), and L.A. County). Lead and support lead rates negotiations with Plan Partners, County of Los Angeles, and other major L.A. Care subcontractors. The Director responds to Government requests for data and analyses. Work with the Accounting/Finance senior management to meet financial reporting and budgeting deadlines. Provide timely assistance to Medical Payment System & Services (MPSS), Provider Network Management (PNM), Legal Enterprise Data Strategy Analytics (EDSA), and any other departments in need of Actuarial support. Summarize difficult and complex financial situations, edit and update development plans of Actuarial staff and present them to the Chief Financial Officer (CFO). This position is responsible for directing all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. Duties Manage staff , including, but not limited to: monitoring of day to day activities of staff, monitoring of staff performance, mentoring, training, and cross-training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others. Manage Department priorities, including workload analyses, staff availability and skill sets, system requirements, and financial impacts of requests to and demands on the Actuarial Department. Prepare briefings, reports, consultation documents and presentations that clearly articulate L.A. Care's regulatory position and policy. Develop regulatory position and policy based on research and evidence. Improve and optimize reporting to key departments, including establishing and commutating proposed deadlines, analysis of the amounts and risks involved, project planning, and assignment of project tasks. Direct and present completed analyses and data reports to government agencies and/or other health plans, develop plans for improved and faster data reporting. Lead in the analyses and estimated impacts of new Medi-Cal or other (Covered CA, Medicare) programs or inquiries. Lead in presenting the impact of financial changes to L.A. Care Finance and Senior Management staff, and to major subcontractors' Finance/Actuarial staff. Prepares briefings, reports, consultation documents and presentations that clearly articulate L.A. Care's regulatory position and policy. Develop regulatory position and policy based on research and evidence. Develop goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees. Perform other duties as assigned. Duties Continued Education Required Bachelor's Degree in Mathematics or Related FieldEducation Preferred Master's Degree in Mathematics or Related FieldExperience Required: At least 8 years of actuary work experience in a health plan under the supervision of a credentialed Members of the American Academy of Actuaries (MAAA) Actuary. At least 6 years of experience leading staff or supervisory/management experience. Direct involvement and extensive experience with the Finance Department's annual budgeting process, the monthly IBNR reserving process, and the annual Rate Development Template (RDT)/Special Data Request (SDR) submissions process to DHCS. Preferred: Lead roles in both written and/or oral communication with the CA Dept. of Health Care Services, Dept. of Managed Health Care, the U.S. Center for Medicare and Medicaid Services, and the County of Los Angeles. Skills Required: Thorough understanding of Actuarial Department organization and tasks, financial concepts, and Accounting principles. Extensive knowledge of the DHCS/Mercer, Covered CA, and Medicare rating methods, as well as the related financial reporting tasks pertaining to the sources of L.A. Care revenue. Familiarity with the capitation and other rating procedures for the major L.A. Care subcontractors, particularly involving the Medi-Cal Plan Partners and the County of Los Angeles. Direct experience in rate negotiations and presentations with these major subcontractors. Proven skills with and superior knowledge of the annual budgeting process, the monthly financial reporting process (both Incurred but Not Reported (IBNR) and revenue debits/credits), and responding to government requests for information and explanation. Demonstrated ability to oversee Actuarial staff in the design and construction of complex Excel spreadsheets. Effective verbal, written and interpersonal communication skills, including proven excellence in communicating with Senior Management, outside auditors, government rate-setting staff, and other regulatory staff. Preferred: Demonstrated ability to explain financial and actuarial concepts to non-Finance staff. Patience and businesslike demeanor when challenged or confronted by auditors or regulators who question the work product or methods. Superior listening skills. Licenses/Certifications Required Associate of the Society of Actuaries (ASA)Member of the American Academy of Actuaries (MAAA)Licenses/Certifications Preferred Fellow of the Society of Actuaries (FSA)Required Training Passed at least four Society of Actuaries Exams. Physical Requirements LightAdditional Information Different Areas of Responsibilities: Government Contracts: Responsible for the review and negotiation of Medi-Cal rates with DHCS, totally over $10B annually, as well as the development and negotiation of delegated rates of over $3B annually. As directed by the CFO, support and/or lead the review of revenue amounts from governmental agencies, especially the DHCS Medi-Cal capitation rates for assorted Medi-Cal populations and programs. Commercial and Medicare: Responsible for all Commercial and Medicare Actuarial support, over 700M in reserve estimates, risk adjustment estimates and support for various ad hoc projects across all lines of business. 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)

Responsibilities

The Director, Actuarial Services manages and oversees all Actuarial staff and tasks, setting priorities for internal and external requests from government agencies like DHCS and CMS. This role involves leading rate negotiations with partners and subcontractors, responding to government data requests, and collaborating with Finance on deadlines.

Director, Actuarial Services at L.A. Care Health Plan

Los Angeles, California, United States - Full Time

Experience Required
Minimum 5 year(s)

Clinical Services Supervisor at SAFE PLACE FOR YOUTH

Venice, Veneto, Italy - Full Time

Experience Required
Minimum 2 year(s)

Foreman, Electrical Services at Burhani Engineers

Nairobi, , Kenya - Full Time

Experience Required
Minimum 5 year(s)

Environmental Services Worker at HealthCareersInSask.ca

Meadow, South Dakota, United States - Full Time

Skills Needed
Computer Skills, Ability To Work Independently

Senior Executive, HR Services at NTUC INCOME INSURANCE COOPERATIVE LIMITED

, , Singapore - Full Time

Experience Required
Minimum 2 year(s)

Health Educator HIV Services at Imperial Beach Community Clinic

Imperial Beach, California, United States - Full Time

Experience Required
Minimum 5 year(s)

Custodian (Library Services) at Hillsborough County Board of County Commissioners

Tampa, Florida, United States - Full Time

Skills Needed
Custodial Duties, Cleaning Supplies Knowledge, Safety Procedures Knowledge, Guidance, Training, Direction, Planning, Organizing, Supervising, Teamwork, Communication, Record Keeping

Client Services Coordinator* at Community Medical Services

Mesa, Arizona, United States - Full Time

Investment Services Assistant at Pentucket Bank

Salem, New Hampshire, United States - Full Time

Experience Required
Minimum 2 year(s)

Director of Resident Services at Rose Senior Living at Providence Park

Addison, Illinois, United States - Full Time

Experience Required
Minimum 2 year(s)

Merchant Services Underwriter at FFB Bank

Fresno, California, United States - Full Time

PROGRAMMING SERVICES OFFICER at State of careers Rhode Island

, , United States - Full Time

Experience Required
Minimum 5 year(s)

Merchant Services Underwriter at FFB Bank

, California, United States - Full Time

Financial Services Specialist at Loma Linda

San Bernardino, California, United States - Full Time

Special Services Coordinator at 4M Building Solutions

Lansing, Michigan, United States - Full Time

Experience Required
Minimum 2 year(s)

Special Services Coordinator at 4M Building Solutions

Bay City, Michigan, United States - Full Time

Experience Required
Minimum 2 year(s)

Special Services Coordinator at 4M Building Solutions

Grand Rapids, Michigan, United States - Full Time

Experience Required
Minimum 2 year(s)

Manager of Business Services at HAYMARKET CENTER

Chicago, Illinois, United States - Full Time

Experience Required
Minimum 2 year(s)

Patient Services Coordinator at PT Solutions

Blooming Grove Township, Pennsylvania, United States - Full Time

Specialization
Candidates must possess a minimum of a High School diploma or GED. Additionally, 1-2 years of customer service experience, preferably in a healthcare setting, is required.

Patient Services Coordinator at PT Solutions

, North Carolina, United States - Full Time