Your Role
The ASO and Specialty Pricing team supports rate filing, discount submission, and financial analysis for Blue Shield of California in the ASO and Specialty space.
The Actuarial Analyst – Experienced role will report to the Senior Manager of Pricing for Select & Specialty.
In this role you will be responsible for extracting and analyzing data to support UDS submissions and other large data sets as well as other actuarial analysis and reporting.
Your Work
In this role, you will:
Understand the core principles and functionality of decision, descriptive, predictive and prescriptive 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 deploy 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
Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports
Extract and analyze data to support UDS submissions and other large data sets
Your Knowledge and Experience
Requires a bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
Requires 2 years of professional actuarial experience
Requires the completion of 1 to 2 courses towards the eventual attainment of the Associate, Society of Actuaries (ASA) designation
Experience in Health Care industry preferred
Pay Range:
The pay range for this role is: $ 80960.00 to $ 113190.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade.
Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.