Job Description

Your Role

The Actuarial Analyst provides analytical and strategic support for provider contract negotiations and performance management in collaboration with other departments. The Actuarial Analyst develops actuarial models to support contract negotiations, performs benchmarking studies, and presents data in strategy meetings for senior executives.

Responsibilities

Your Work
In this role, you will:

• Understand the core principles and functionality of decision, descriptive and predictive analytic methods including forecasting, statistical and machine learning techniques
• Conduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysis
• Coordinate, prepare, perform and audit actuarial analyses to assist in the development of complex actuarial formulations leading to the recommendation of pricing, trending, reserving, provider reimbursement and/or risk assessment strategies
• Perform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploys predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies
• Develop evaluation and financial reporting standards for internal and external reports
• Develop presentations for senior-executive strategic meetings by working with different teams, including performing various actuarial studies using different tools (Excel, SAS, SQL, etc.)
• Conduct benchmarking, BSC health care spend, price transparency and competitive studies leveraging internal and external data sources
• Be able to work under a fast-paced organization

Future Opportunities

Great talent is always in demand at Blue Shield of California. While there is not a current opening associated with this posting, we are proactively building a network of qualified candidates for future opportunities. We encourage you to apply and stay connected for upcoming roles that align with your skills and interests.

Qualifications

Your Knowledge and Experience

Actuarial Analyst, Experienced

• Requires a bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
• At least 3 years of professional actuarial experience
• Completion of 3 or more actuarial exam courses toward ASA (Associate of the Society of Actuaries) or equivalent progress is preferred
• Requires proficiency with MS Office, including Excel, Word, PowerPoint
• Preferred: work experience with SQL or SAS and large health care databases
• Preferred: project management work experience
• Preferred: work experience with provider contracting analytics

Pay Range for CA: $37.36 to $56.03
Pay Range for Bay Area: $42.11 to $63.17
Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield Salaries are based on a variety of factors including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Actuarial Analyst, Senior

• Requires a bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
• At least 5 years of professional actuarial experience
• ASA (Associate of the Society of Actuaries) and/or FSA (Fellow of the Society of Actuaries) highly preferred
• Requires proficiency with MS Office, including Excel, Word, PowerPoint
• Preferred: work experience with SQL or SAS and large health care databases
• Preferred: project management work experience
• Preferred: work experience with provider contracting analytics

Pay Range for CA: $102,740.00 to $154,220.00
Pay Range for Bay Area: $115,816.00 to $173,848.00
Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield Salaries are based on a variety of factors including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles.

Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.