Actuarial Analyst, Principal

3 days ago


Oakland, California, United States Blue Shield Of California Full time
Your Role

The Actuarial Pricing team at Blue Shield of California is responsible for forecasting costs and revenues to ensure the financial stability of the company. As an Actuarial Analyst, Principal, you will report to the Senior Director, Select, ASO & Specialty Pricing. In this role, you will be responsible for all Actuarial support for the CalPERS PPO product, including forecasting, pricing, cost of healthcare analysis, and reserve setting.

Your Work

In this role, you will:

  1. Develop and apply advanced analytic methods to understand the core principles and functionality underlying decision, descriptive, predictive, and prescriptive analytics.
  2. Conduct and develop analysis, assess risk and population risk scores, and develop pricing and trends. You will also assess changes in benefit designs, develop reserves, perform forecasting, and analyze provider reimbursement terms.
  3. 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.
  4. Perform data exploration using a combination of statistical programming languages, including R, Python, SQL, and SAS. You will deploy predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend, and financial forecasting in a manner that is actuarially sound.
  5. Lead, coordinate, and/or develop strategic, market, and competitive analysis.
  6. Work directly with Senior Leadership, up to and including the CEO, to manage this exciting new product and ensure Blue Shield is achieving its commitments to CalPERS.
Your Knowledge and Experience

To be successful in this role, you will require:

  • A bachelor's degree in mathematics, statistics, computer science, or equivalent business experience.
  • An ASA and must be working towards the completion of an FSA.
  • At least 8 years of professional actuarial experience.
  • Pricing and forecasting experience is preferred.
Pay Range

The pay range for this role is: $145,970.00 to $218,900.00 for California. 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, and current employee salaries for similar roles.



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