Actuarial Lead

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...

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...

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 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,...

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 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 Role   The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle 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. This role will include...

Your Role   The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle 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. This role will include...

Your Role   The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle 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. This role will include...

Your Role   The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle 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. This role will include...

Your Role   The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle 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. This role will include...

Your Role   The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle 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. This role will include...

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 Senior Actuarial Analyst will report to the Senior manager of...

Your Role   The Blue Shield’s Risk Adjustment (RA) Chart Review and Analytics team plays a crucial role in bringing healthcare into the digital age. The RA team is highly cross-functional, with each team member deeply skilled in both business-operations and data-analytics; this enables us to deliver industry-leading results. The Actuarial Analyst, 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 Work   In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network...

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 Senior Actuarial Analyst will report to the Senior manager of...

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 Senior Actuarial Analyst will report to the Senior manager of...

Your Role   The Risk Adjustment Analytics and Reporting team is looking for a Senior Actuarial Analyst. The Senior Actuarial Analyst will report to the Senior Manager of Risk Adjustment Analytics and Reporting. In this role you will help provide analytical support for various prospective programs across multiple lines of business, primarily concentrating on...

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 Manager...

Your Work   In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network...

Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network...

Your Work   In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network...

Your Work   In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network...

Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network strategy...