Senior Actuarial Consultant, Value-Based Care Expert

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...

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...

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,...

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 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...

Company OverviewBlue Shield of California is a leading healthcare organization that aims to bring healthcare into the digital age. Our Risk Adjustment team plays a crucial role in delivering industry-leading results by leveraging data analytics and business operations expertise.Your RoleIn this role, you will enhance our data-driven decision-making process...

Blue Shield of California is seeking a highly skilled Strategic Actuarial Risk Manager to join its Risk Adjustment Analytics and Reporting team. This role will report to the Senior Manager of Risk Adjustment Analytics and Reporting.About the RoleThis position involves providing analytical support for various prospective programs across multiple lines of...

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...

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...

Company OverviewKaiser Permanente is a leading healthcare organization committed to delivering high-quality, patient-centered care. As a major player in the industry, we strive to foster an inclusive work environment that promotes diversity and excellence.Job DescriptionWe are seeking a skilled Actuarial Services Professional to join our team in California,...

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...

Are you looking for a challenging role in construction project management? Exponent Inc. is a leading engineering and scientific consulting firm that offers a unique opportunity to work on complex projects.About UsExponent Inc. has been at the forefront of solving complex problems for over five decades. Our multidisciplinary teams of experts provide...

We are seeking a highly skilled Senior Websphere and FileNet Consultant to join our team at Estrada Consulting Incorporated. This is a challenging role that requires strong technical expertise, excellent problem-solving skills, and the ability to work collaboratively with clients.About the RoleThis full-time position involves providing expert-level...

Strategic Pharmacy Medical Informatics DirectorYour RoleThe Blue Shield of California 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 Medical Informaticist will report to the Senior Director, Cost of Health Care...

Excellence in Façade ConsultingWe are seeking a highly skilled Façade Engineer to join our team at RDH Building Science, a leading consulting firm in North America. As a Senior Façade Consultant, you will be responsible for delivering high-quality façade solutions that meet the needs of our clients.About the Role:Develop and maintain client relationships...

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,...

At Exponent, we pride ourselves on delivering exceptional results to our clients. As a Senior Associate in our Construction Consulting Practice, you will play a key role in achieving this goal.">About Us">We are the only premium engineering and scientific consulting firm with the depth and breadth of expertise to solve our clients' most profoundly unique,...

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 -...

We are seeking a passionate Urban Planning Expert to join our team at Economic & Planning Systems, an innovative land use consulting firm. Our consultants work with a range of quantitative methods to solve complex challenges related to land use policy, urban planning, real estate investment, and public financing.About the RoleThe Associate or Senior...