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
Create value for the Network team by organizing and focusing the various requests from the General Managers and Pricing Team into a prioritized, workable list
Be required to have strong influencing skills across multiple functions within Blue Shield with a drive towards consensus, and an ability to handle shifting priorities and ambiguity with agility
Lead, coordinate and/or develop strategic, market and competitive analysis
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
Your Knowledge and Experience
Requires a bachelor's degree in mathematics, statistics, computer science or equivalent business experience
Requires an ASA
Requires at least 8 years of professional actuarial experience
Requires at least 1 year of pricing experience, with experience in multiple lines of business desired
Requires at least 2 years of experience in actuarial provider contracting analysis
Pay Range:
The pay range for this role is: $ 145970.00 to $ 218900.00 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.