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Blue Shield of California

Actuarial Analyst, Experienced

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What they do

An Actuary calculates the financial costs of risk and uncertainty. Uses findings from statistical analysis and mathematical modeling to help businesses and clients minimize the cost of risk and develop business and investment strategies. Uses actuarial analysis of the probability and cost of natural disasters or accidents to develop insurance policies.

$129,227 / year median in California

+4% projected growth

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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. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. 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. 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.

Benefits

  • Health Insurance