Actuarial Strategist

The Actuarial Provider Strategies team at Blue Shield of California is seeking a highly skilled Senior Actuarial Analyst to join their team. In this role, you will play a key part in designing and implementing value-based care (VBC) payment models, including Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs).

Your Key Responsibilities

• Develop and implement actuarial models to assess risk and population risk scores, and to develop pricing and trends.
• Conduct data exploration using statistical programming languages, including R, Python, SQL, and SAS, to deploy predictive analytics and machine learning techniques.
• Coordinate and prepare 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.
• Develop and present financial materials to key stakeholders and leadership, including Network, Payment Innovation, Clinical, and Actuarial partners.
• Provide guidance and mentorship to junior actuarial analysts.

Requirements

• Bachelor's degree with a minor in mathematics, statistics, computer science, or equivalent business experience.
• At least 3 years of professional actuarial experience.
• Prior healthcare industry experience.
• Strong communication, presentation, and creative problem-solving skills.
• Excellent organizational and project management skills.
• Advanced experience in Microsoft Excel, and SAS/SQL.
• Proficiency in data visualization tools such as Tableau and/or Power BI preferred.

Pay Range

The pay range for this role is: $99,000.00 to $148,500.00 for California.