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 responsibilities across all the major Actuarial disciplines, including forecasting, pricing, cost of healthcare analysis, and reserve setting.
Your Work
In this role, you will:
Understand the core principles and functionality underlying decision, descriptive, predictive, and prescriptive advanced analytic methods
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
Lead, coordinate and/or develop strategic, market and competitive analysis
Work directly with Senior Leadership, up to and including the CEO, to manage this exciting new product and ensure Blue Shield is achieving our commitments to CalPERS
Your Knowledge and Experience
Requires a bachelor's degree in mathematics, statistics, computer science or equivalent business experience
Requires an ASA and must be working towards the completion of an FSA
Requires at least 8 years of professional actuarial experience
Pricing and forecasting experience is preferred
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.