Actuarial Analyst II

: Job Summary:This individual contributor is primarily responsible for providing support for researching and determining the likelihood of financial risk to the organization, reviewing actuarial documentation for accuracy, supporting product line evaluation and actuarial modeling, and supporting financial risk and opportunity analyses.Essential...

About the RoleBlue Shield of California is seeking an experienced Actuarial Analyst to join our Large Group Pricing team. As an Actuarial Analyst, you will play a critical role in pricing and forecasting our Large Group Health Insurance products.Key ResponsibilitiesPricing and Forecasting: Apply analytical tools to project future costs and premiums for Large...

Your RoleThe Actuarial Provider Strategies team is instrumental in crafting and executing value-based care (VBC) payment frameworks, which encompass Accountable Care Organizations (ACOs) and other pioneering alternative payment structures aimed at enhancing the affordability and quality of care for our members. The Senior Actuarial Analyst will report...

: Job Summary:This role is remote however applicants must reside in California, Oregon, Washington or Colorado.This role will focus on new product development within the healthcare space.This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, aligning actuarial documentation...

About the RoleThe Actuarial Provider Strategies team at Blue Shield of California is seeking a highly skilled Senior Actuarial Analyst to support the design and analytical operations of our value-based strategy. As a key member of this team, you will report to the Principal Analyst on Actuarial Provider Strategies and work closely with colleagues from...

About the RoleThe Actuarial Provider Strategies team at Blue Shield of California is seeking a highly skilled Senior Actuarial Analyst to support the design and analytical operations of our value-based strategy. As a key member of this team, you will report to the Principal Analyst on Actuarial Provider Strategies and play a critical role in driving business...

Job Summary:This individual contributor plays a key role in assisting in researching and determining the likelihood of financial risk to Kaiser Permanente, supporting actuarial documentation, product line evaluation, and actuarial modeling, and assisting in financial risk and opportunity analyses.Key Responsibilities:Pursues self-development and effective...

Job Summary:This is a remote position, but candidates must reside in states where Kaiser Permanente operates, including California, Colorado, Georgia, Hawaii, Illinois, Maryland, Oregon, Washington, and Virginia. As a key contributor to our team, you will be responsible for Medicaid capitation rate analyses, financial forecasting and budgeting, and data...

Job SummaryBlue Shield of California is seeking an experienced Actuarial Analyst to join our Actuarial Provider Strategies team. As a key member of our team, you will play a critical role in designing and implementing value-based care (VBC) payment models that improve the affordability and quality of care for our members.Key ResponsibilitiesDevelop and...

: Job Summary:This role is remote however applicants must reside in California, Oregon, Washington or Colorado.This role will focus on new product development within the healthcare space.This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, preparing and reviewing actuarial...

: Job Summary:This position is remote; however candidates must reside within the States that we operate in, which include California, Colorado, Georgia, Hawaii, Illinois, Maryland, Oregon, Washington and Virginia. This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization,...

About the RoleThe Medical Informatics Analyst will report to the Actuary Manager at Blue Shield of California. In this role, you will execute the monthly data load process to collect and validate data from multiple sources into the rating model database and refresh the rating factor dashboard.Key ResponsibilitiesConduct independent analysis of low complexity...

Job OverviewCompany BackgroundAt Altais Health Solutions, we are seeking innovative and inquisitive professionals who are dedicated to transforming healthcare experiences. Our mission is to revolutionize the healthcare landscape for providers, patients, and the clinical community. We are committed to developing advanced clinical support tools and...

Position Overview:The Lead Risk Analyst is responsible for assessing both standard and complex data to gain insights into premiums, claims, exposures, and overall population dynamics. This role involves independently identifying and escalating actionable insights and irregularities while researching viable solutions. The Lead Risk Analyst plays a crucial...

Job SummaryBlue Shield of California is seeking a highly skilled Medical Informatics Analyst, Associate to join our team. As a key member of our rating model team, you will play a critical role in supporting large group pricing through model programming, data validation, and general model support for users.Key ResponsibilitiesExecute the monthly data load...

Duration: 6 Months ContractPosition Overview: The role involves preparing a diverse range of financial statements and analytical accounting reports, including statistical and narrative documents for the department, auditors, and other relevant agencies.Responsibilities include classifying receipts by funds, projects, and programs; maintaining and reconciling...

Salesforce Solutions Architect / Technical LeadOverviewThe Salesforce Solutions Architect / Technical Lead assumes a pivotal role in guiding Salesforce initiatives. This position involves collaborating with business analysts, developers, and stakeholders to design, implement, and sustain Salesforce solutions. Beyond development tasks, the Solutions Architect...

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

Your Role   The Actuarial Provider Strategies team supports the design and analytical operations of Blue Shield of California’s value-based strategy. The Actuarial Analyst - Senior will report to the Principal Analyst on Actuarial Provider Strategies. In this role you will be supporting analytical work for the Accountable Care Organization (ACO) incentive...

Your Role   The Actuarial Provider Strategies team supports the design and analytical operations of Blue Shield of California’s value-based strategy. The Actuarial Analyst - Senior will report to the Principal Analyst on Actuarial Provider Strategies. In this role you will be supporting analytical work for the Accountable Care Organization (ACO) incentive...

Your Role   The Actuarial Provider Strategies team supports the design and analytical operations of Blue Shield of California’s value-based strategy. The Actuarial Analyst - Senior will report to the Principal Analyst on Actuarial Provider Strategies. In this role you will be supporting analytical work for the Accountable Care Organization (ACO) incentive...

Your Role The Actuarial Provider Strategies team supports the design and analytical operations of Blue Shield of California’s value-based strategy. The Actuarial Analyst - Senior will report to the Principal Analyst on Actuarial Provider Strategies. In this role you will be supporting analytical work for the Accountable Care Organization (ACO) incentive...

Your Role   The Actuarial Provider Strategies team supports the design and analytical operations of Blue Shield of California’s value-based strategy. The Actuarial Analyst - Senior will report to the Principal Analyst on Actuarial Provider Strategies. In this role you will be supporting analytical work for the Accountable Care Organization (ACO) incentive...

Your Role   The Actuarial Provider Strategies team supports the design and analytical operations of Blue Shield of California’s value-based strategy. The Actuarial Analyst - Senior will report to the Principal Analyst on Actuarial Provider Strategies. In this role you will be supporting analytical work for the Accountable Care Organization (ACO) incentive...

Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Actuarial Analyst, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s...

Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Actuarial Analyst, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s...

Your Role   The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to project the future costs and premiums for the Large Group customers, as well as additional analysis and...

Your Role   The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to project the future costs and premiums for the Large Group customers, as well as additional analysis and...

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...

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...

Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Actuarial Analyst, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s...

Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Actuarial Analyst, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s...

Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Actuarial Analyst, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s...

Your Role   The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Actuarial Analyst, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team's...

Your Role   The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to project the future costs and premiums for the Large Group customers, as well as additional analysis and...

Your Role The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to project the future costs and premiums for the Large Group customers, as well as additional analysis and...

Your Role   The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to project the future costs and premiums for the Large Group customers, as well as additional analysis and...