Actuarial Analyst, Experienced

Blue Shield of California

Jul 1

Applications are closed

Job
Full-time
Junior & Mid Level
Banking & Finance
$79.8K - $111.7K
San Diego, +2

Requirements

Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
Requires at least 2 years of professional actuarial experience
Experience with pricing or network/contractual analysis is required

Responsibilities

Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute
Build and update models that allow the actuarial team to quantify financial gaps and opportunities at a provider level
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 deploy 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

FAQs

What qualifications are required for this position?

A bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experience is required. Additionally, at least 2 years of professional actuarial experience and experience with pricing or network/contractual analysis is required.

What will be the main responsibilities in this role?

The main responsibilities include converting pricing and financial goals into specific action plans at the provider level, building and updating models to quantify financial gaps and opportunities, conducting various actuarial analyses, performing data exploration using statistical programming languages, and deploying predictive analytics and machine learning techniques.

What programming languages might be used in this position?

Statistical programming languages such as R, Python, SQL, and SAS may be used in this position.

What experience is needed to excel in this role?

Having a strong background in mathematics, statistics, and computer science, along with professional actuarial experience, will be essential to excel in this role. Additionally, experience with pricing or network/contractual analysis is highly recommended.

What are some key skills required for this position?

Strong analytical skills, proficiency in statistical programming languages, the ability to perform complex actuarial analyses, and experience with pricing or network/contractual analysis are key skills required for this position.

Blue Shield of California

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Finance

Industry

5001-10,000

Employees

1939

Founded Year

Mission & Purpose

Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. Blue Shield of California is a tax-paying, nonprofit, independent member of the Blue Shield Association with 4.7 million members, 7,800 employees, and $22.9 billion in annual revenue. Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.