Actuarial Analyst, Experienced
Company: Blue Shield of California
Location: Oakland
Posted on: October 4, 2024
Job Description:
Your Work In this role, you will:
- 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 Your
Knowledge and Experience
- 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 Pay Range: The pay range for this role is: $ 79750.00 to $
111650.00 for California. 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's
experience, location (California, Bay area, or outside California),
and current employee salaries for similar roles.
Keywords: Blue Shield of California, Vallejo , Actuarial Analyst, Experienced, Professions , Oakland, California
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