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.

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.

• 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…