Actuarial Strategist
1 day ago
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.
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Actuarial Strategist
1 month ago
Oakland, California, United States Blue Shield of California Full time{"title": "Actuarial Analyst - Senior", "description": "About the RoleThe Actuarial Provider Strategies team at Blue Shield of California supports the design and analytical operations of our value-based strategy. As an Actuarial Analyst - Senior, you will report to the Principal Analyst on Actuarial Provider Strategies and work closely with colleagues from...