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Sutter Health Sutter Health Jobs (NOW HIRING)

Actuary, Sutter Health Plan

Sacramento, CA · On-site +1

$126K - $189K/yr

SHSO-Sutter Health System Office-Valley Position Overview: Participates in all facets of financial model design, including reserving, rate analysis, and actuarial data mart development. Provides ...

OR

$126K - $189K/yr

SHSO-Sutter Health System Office-Valley Position Overview: Participates in all facets of financial model design, including reserving, rate analysis, and actuarial data mart development. Provides ...

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What opportunities for professional development are available to employees at Sutter Health?

Sutter Health places a strong emphasis on career growth by offering a variety of professional development programs, including continuing education, leadership training, and tuition reimbursement. Employees are encouraged to participate in mentorship opportunities and specialized workshops to enhance their skills. The organization also supports internal mobility, allowing staff to apply for new roles within the health system as they gain experience. This approach fosters a collaborative environment where employees can advance their careers while contributing to high-quality patient care.

What is the difference between Sutter Health Sutter Health vs Medical Assistant?

AspectSutter Health Medical Assistant
CredentialsCertified or registered, often requiring completion of a medical assisting program and certification
Work EnvironmentClinics, outpatient settings, hospitals within Sutter Health network
Employer & IndustrySutter Health healthcare system, providing patient care services
Job RoleAssist physicians with patient care, perform basic clinical tasks, administrative support

In summary, Sutter Health Medical Assistants are clinical support staff with specific certifications, working primarily in outpatient and hospital settings within Sutter Health. They focus on direct patient care and clinical tasks, whereas other roles may have different responsibilities or credentials.

What are the key skills and qualifications needed to thrive as a healthcare professional at Sutter Health, and why are they important?

To thrive as a healthcare professional at Sutter Health, you need relevant medical or administrative credentials, a strong foundation in your area of expertise, and appropriate licensure or certification. Familiarity with electronic health record (EHR) systems, healthcare regulations, and organization-specific tools such as Epic is often required. Strong communication, teamwork, and adaptability are essential soft skills for delivering quality patient care and collaborating within multidisciplinary teams. These skills ensure exceptional patient outcomes, compliance with healthcare standards, and effective operation in a dynamic clinical environment.

What is Sutter Health?

Sutter Health is a not-for-profit integrated health network of hospitals, doctors, and other healthcare providers serving Northern California. The organization offers a wide range of medical services including primary care, specialty care, hospital care, and outpatient services. Sutter Health is known for its patient-centered approach, commitment to quality care, and investment in medical research and technology. It operates numerous hospitals, medical foundations, and affiliated physician organizations across the region.
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Infographic showing various Sutter Health Sutter Health job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.
Actuary, Sutter Health Plan

Actuary, Sutter Health Plan

Sutter Health

Emeryville, CA

$126K - $189K/yr

Full-time

Medical

Posted 27 days ago


Sutter Health rating

8.2

Company rating: 8.2 out of 10

Based on 319 frontline employees who took The Breakroom Quiz

53rd of 890 rated healthcare providers


Job description

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Valley

Position Overview:

Participates in all facets of financial model design, including reserving, rate analysis, and actuarial data mart development. Provides guidance on a range of topics such as utilization, product pricing including benefit design, contracting, premium revenue, and trend forecasting. Monitors and reports on the performance of each business line, including Medicare Advantage and preferred provider organization health care plans. Participates as a key financial expert on Sutter Health's customer-facing negotiation team. Contributes to new business activities and new methods of delivering health benefits that enable patients and our health plan members to access care when, where, and how they want it. Partners with information services (IS) to ensure data integrity and integration of the health rules platform and the data warehouse for a scalable, configurable and verifiable data pipeline for healthcare analytics.

Job Description:

EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.

  • Bachelor's in Actuarial Science, Economics, Mathematics or related field


TYPICAL EXPERIENCE:

  • 5 to 8 years of recent and relevant actuarial experience
  • ASA preferred
  • Member, American Academy of Actuaries (MAAA) preferred


SKILLS AND KNOWLEDGE:

  • Expertise in actuarial pricing, underwriting, statistical modeling, analytics, networks, forecasting and reserve systems, including expert knowledge of the applicable.
  • Actuarial Standards of Practice (ASOP) issued by Actuarial Standards Board (ASB), generally accepted accounting principles (GAAP) and internal/statutory financial reporting regulations.
  • Extensive knowledge of core health actuarial processes including pricing, valuation, and budgeting/forecasting with a demonstrated knowledge of the capitated delegated model and capitation terms including division of responsibility.
  • Thorough knowledge of healthcare delivery systems, integrated delivery systems and medical group practices, especially in a managed care environment, as well as an advanced understanding of key government programs ((Medicare/Medicaid) and market segments (individual, small group, etc.).
  • In-depth knowledge of premium rate and benefit pricing methodologies, including a working understanding of health care cost structures (fee schedules, actuarial cost categories, and health care utilization codes).
  • Advanced knowledge of key operational functions of a health plan, including expert knowledge of key dimensions of health plan data: Claims, Enrollment, and Revenue.
  • Superior business acumen, exceptional analytical and advanced project management skills, with the proven ability to provide innovative solutions to complex problems, reach practical conclusions, and institute effective changes.
  • Possess written and verbal communications skills to explain complex health plan regulations and technical information clearly and professionally to diverse audiences.
  • Proficiency in a range of actuarial and statistical software packages which include SQL and Excel Visual Basic (VBA) skills.
  • Analyze issues, predict downstream effects, and effectively prevent or resolve problems.
  • Work independently as well as be part of an interdisciplinary team, while demonstrating exceptional attention to detail and organizational skills.
  • Prioritize and delegate assignments under varied and urgent conditions and work based on experience, procedures, policies, and best practices to achieve objectives and meet deadlines.
  • Lead others to solve complex problems using sophisticated analytics to identify innovative solutions.
  • Influence individuals or groups with diverse opinions and to enlist cooperation without direct control/authority.
  • Ensure the privacy of each patient's protected health information (phi).
  • Build collaborative relationships with peers, other departments, stakeholders, management, and vendors to provide cost-effective healthcare to patients and our health plan members when, where, and how they want it.

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $126,256.00 to $189,384.00 / annual salary. California - Sacramento Valley, New Jersey, Washington Pay Range is $126,256.00 to $189,384.00 / annual salary. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, Virginia Pay Range is $113,630.00 to $170,456.00 / annual salary. Arizona, Arkansas, Idaho, Illinois, Louisiana, Michigan, Minnesota, Missouri, Montana, South Carolina, Tennessee, Utah Pay Range is $101,004.00 to $151,507.00 / annual salary.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.


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