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Blue Shield of California · 21 hours ago

Actuarial Analyst, Senior

California, United States

Full-time

Hybrid

Mid, Senior Level

3+ years exp

Blue Shield of California is a nonprofit organization focused on transforming healthcare to be more affordable and of higher quality. The Senior Actuarial Analyst will support the Pay for Value team by leading and conducting analytical work related to value-based care payment models, collaborating with various internal teams to inform strategy development and improve healthcare outcomes.

Financial ServicesHealth InsuranceNon Profit

H1B Sponsor Likely

Responsibilities

Understand the core principles and functionality of decision, descriptive and predictive analytic methods including forecasting, statistical and machine learning techniques

Conduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysis

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

Perform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploys predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies

Develop evaluation and financial reporting standards for internal and external reports

Lead and support program reporting and analytics, including cost target setting, reconciliation, forecasting, and "what-if" modeling to inform strategy development

Collaborate with internal teams and cross-functional partners to support program development and ensure alignment with BSC healthcare affordability and quality objectives

Perform ad-hoc actuarial analyses to support various business needs and provide actionable insights and recommendations based on these analyses

Understand how other network initiatives and alternate payment models interplay and affect VBC programs and relationships

Qualification

Actuarial experienceStatistical programmingData visualization toolsMicrosoft ExcelSAS/SQLHealthcare experienceCommunication skillsAttention to detail

Required

Requires a bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experience

At least 3 years of professional actuarial experience

Requires advanced experience with Microsoft Excel and/or SAS/SQL

Requires strong communication and presentation skills

Requires attention to detail and ability to manage multiple priorities

Preferred

Experience with data visualization tools such as Power BI and/or Tableau preferred

Healthcare industry experience preferred

Company

Blue Shield of California

Glassdoor3.8

Blue Shield of California is a health insurance service provider.

Founded in 1939

San Francisco, California, USA

5001-10000 employees

https://www.blueshieldca.com

H1B Sponsorship

Blue Shield of California has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (1)

2022 (41)

2021 (20)

2020 (31)