Actuarial Analyst, Senior

2 weeks ago

Oakland, United States Blue Shield of California Full time

Your Role
 
The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the Actuarial Pricing Shared Services. In this role you will have visibility into total company financials and enterprise-wide initiatives. You will directly support reporting and forecasting of total company financial with a focus on Gross Margin. There will be exposure to support strategic initiatives on products, as well as impact assessment for legislative changes. 
 
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
Responsible for consolidation and tracking of total company financials

This requires enterprise-wide collaboration and an understanding of key initiatives across the company in order to tell the story on total company performance
Actively automating and visualizing results

Support strategic initiative on TRIO-Tandem to track and understand performance in order to get them on a path to profitability
Other projects to involve and get exposure:

Setting of multi-year financial and pricing targets
Upcoming legislative changes and their impact to Actuarial
Has opportunity to get exposure to several other activities in the team such as Specialty pricing, Risk Adjustment projections, Product initiatives etc.

Communicate and work with cross-functional leadership in Finance, as well as all teams within Actuarial

 Your Knowledge and Experience 

Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
Requires 3 years of professional actuarial experience
Requires critical thinking and analytical skills
Requires being a self-starter and team player
Requires advanced communication and presentation skills
Requires understanding of financial and economic terms and strong in financial modeling
Requires knowledge of financial regulations

 
Pay Range:
The pay range for this role is: $ 99000.00 to $ 148500.00 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.

  • Actuarial Analyst, Senior

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

  • Actuarial Analyst, Senior

    2 weeks ago

    Oakland, CA, 94616, Alameda County, CA, United States Blue Shield of California Full time

    Your Role The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

  • Actuarial Analyst, Senior

    2 weeks ago

    United States, CA, Oakland Blue Shield of California Full time

    Your Role   The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

  • Actuarial Analyst, Experienced

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

  • Actuarial Analyst, Experienced

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

  • Actuarial Analyst, Experienced

    3 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

  • Actuarial Analyst, Experienced

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

  • Actuarial Analyst, Experienced

    3 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

  • Actuarial Analyst, Experienced

    3 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

  • Actuarial Analyst, Experienced

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

  • Actuarial Analyst, Experienced

    3 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

  • Actuarial Analyst, Associate

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of...

  • Actuarial Analyst, Associate

    1 week ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of...

  • Actuarial Analyst, Associate

    2 weeks ago

    Oakland, United States Blue Shield of California Full time

    Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of...

  • Actuarial Analyst, Experienced

    3 weeks ago

    Oakland, CA, 94616, Alameda County, CA, United States Blue Shield of California Full time

    Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

  • Actuarial Analyst, Experienced

    3 weeks ago

    Oakland, CA, 94616, Alameda County, CA, United States Blue Shield of California Full time

    Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

  • Actuarial Analyst, Experienced

    3 weeks ago

    United States, CA, Oakland Blue Shield of California Full time

    Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

  • Actuarial Analyst, Experienced

    3 weeks ago

    United States, CA, Oakland Blue Shield of California Full time

    Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

  • Actuarial Analyst V

    1 week ago

    Oakland, United States Kaiser Permanente Full time

    **Job Summary**: This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, aligning actuarial documentation with financial reports and tax returns, developing and designing product line evaluations and actuarial models, and assessing, analyzing, and interpreting financial risk...

  • Actuarial Analyst I

    1 week ago

    Oakland, United States Kaiser Permanente Full time

    Description: Job Summary:This individual contributor is primarily responsible for assisting in researching and determining the likelihood of financial risk to the organization, supporting actuarial documentation, product line evaluation, and actuarial modeling, and assisting in financial risk and opportunity analyses.Essential Responsibilities:Pursues...