Strategic Actuarial Risk Manager

Join Blue Shield of California as a Senior Actuarial Analyst, where you will be an integral part of the Network and Provider Analytics team.The role involves performing financial analyses and modeling for CalPERS provider contracting support. You will be responsible for term changes, renewals, network changes, and terminations for hospitals, ambulatory...

Job SummaryThis key individual contributor plays a crucial role in researching and determining the likelihood of financial risk to our organization. They support actuarial documentation, product line evaluation, and actuarial modeling, as well as assist with financial risk and opportunity analyses.Key Responsibilities:Pursue self-development and effective...

Blue Shield of California is seeking a highly skilled Actuarial Lead to join our team as a Sr. Principal Actuarial Analyst for the Medi-Cal program.About the RoleThis key position requires overseeing rate development, rate analysis, Medi-Cal program analysis, experience reporting, and Medi-Cal program strategy. The successful candidate will directly manage...

Your RoleBlue Shield of California's Risk Adjustment (RA) Chart Review and Analytics team is a vital part of bringing healthcare into the digital age.The RA team is highly cross-functional, with each member deeply skilled in both business-operations and data-analytics; this enables us to deliver industry-leading results.We are seeking a Data Analytics Lead -...

Your RoleAt Blue Shield of California, the Large Group Pricing team plays a vital role in pricing and forecasting our Large Group Health Insurance products. As an Experienced Actuarial Analyst, you will report to the Manager and apply your analytical skills to project future costs and premiums for Large Group customers.Your WorkIn this role, you will:Analyze...

Job Summary:This role is primarily focused on supporting the organization's risk management efforts by providing actuarial expertise and analysis. The successful candidate will be responsible for reviewing and verifying actuarial documentation, analyzing financial data, and developing models to predict future trends.Key Responsibilities:Pursue professional...

About the RoleWe are seeking a highly skilled Actuarial Consultant, Advanced Analytics to join our team at Blue Shield of California. As a key member of our Actuarial Provider Strategies (APS) team, you will play a critical role in supporting the program design, budget setting, and operations of our value-based care (VBC) payment models.In this role, you...

Job Summary:Kaiser Permanente is seeking an experienced Actuarial Associate to join our team. As a Senior Actuarial Associate, you will be responsible for Pricing, IBNR and Forecasting. The ideal candidate will have a strong background in actuarial science and experience working with databases and spreadsheets.Key Responsibilities:Develop and design advanced...

At Delta Dental Plans Association, we're seeking a skilled Actuarial Analyst to join our team. As an introductory level position, this role is ideal for individuals with strong potential or demonstrated acumen in actuarial concepts.About the JobThe Actuarial Analyst will work on analyzing dental experience and other data, including forecasting, reserving,...

OverviewBlue Shield of California is a leading health insurance organization seeking an experienced Senior Manager, Actuary to lead our ASO and Specialty Pricing team. This role will be responsible for managing the UDS discount submission, supporting ASO financial modeling and guarantee evaluation, and pricing and forecasting of our Dental, Vision, and Life...

Your RoleThe Enterprise Risk Management team is responsible for balancing financial goals and membership objectives while protecting Blue Shield of California's bottom line from loss. The Group Underwriter will report to the Enterprise Risk Management Manager. In this role, you will directly contribute to the company achieving its financial and strategic...

About the RoleThe Pharmacy Medical Informatics Analyst, Principal will be a key member of the Cost of Health Care Actuarial team. Reporting to the Senior Director, Cost of Health Care Actuarial, this role will focus on supporting the Pharmacy Team's strategic objectives in contract negotiations, pricing for self-funded employer groups, formulary changes,...

About Direct Indexing SolutionsVanguard is committed to empowering financial advisors to deliver tailored investment solutions to their clients. By leveraging our proprietary direct indexing technology, we aim to revolutionize the way advisors serve their clients.As a key contributor to the growth and adoption of Vanguard's direct indexing solutions, this...

Company OverviewZurich Insurance Company Ltd. is a leading global provider of commercial property-casualty insurance solutions and risk management products and services. With over 150 years of experience, we serve more than 25 industries, from agriculture to technology, and insure 90% of the Fortune 500.SalaryThe estimated salary range for this position is...

Job DescriptionWe are Sila, a pioneering battery materials company on a mission to power the world's transition to clean energy. Our goal is to build a better lithium-ion battery from the inside out today. We engineer and manufacture groundbreaking battery materials that significantly increase the energy density of batteries, while reducing their size and...

About the RoleWe are seeking an experienced Strategic Portfolio Director to lead our Program Management Office (PMO) at the Workers' Compensation Insurance Rating Bureau of California (WCIRB).Job OverviewThe successful candidate will be responsible for managing the enterprise portfolio, ensuring programs align with strategic business goals and priorities,...

Pacific Gas and Electric Company is seeking a highly skilled Senior Strategic Operations Manager to join their team. As a key member of the leadership team, this individual will play a critical role in ensuring the effective execution of the company's strategy and goals.The successful candidate will have a minimum of 10 years of progressive experience,...

About Logic20/20 Inc.">We are a dynamic and rapidly expanding company, seeking a highly skilled Strategic Business Development Manager to drive our continued success. This is an excellent opportunity to shape our business development strategy, cultivate key partnerships, and spearhead revenue growth for one of the largest utility companies on the West...

About Kaiser Permanente:Kaiser Permanente is a healthcare organization dedicated to providing high-quality, patient-centered care. Our mission is to improve the health of our members and the communities we serve.Job Summary:This is an exciting opportunity to join our team as a Healthcare Attorney Director for Strategic Initiatives. As a key member of our...

Role OverviewThe Core Manual underwriting team at Blue Shield of California plays a crucial role in balancing operating income and membership goals while protecting the company's bottom line from loss. As a Senior Insurance Risk Analyst, you will report to the Group Underwriting Manager and contribute directly to the company achieving its financial and...