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Actuarial Analyst, Senior

Blue Shield of California Oakland, CA
  • Posted: November 18, 2019
  • Full-Time

Actuarial Analyst - Provides Actuarial department with pricing support, calculating reserves, risk assessment/analysis, data reporting, financial forecasting/projections, creating filings and/or performing financial and risk analysis in changes to provider contracts to help meet company goals of providing low-cost healthcare and meeting earnings objectives.


Essential Responsibilities:

 May perform a combination of the following depending on discipline/dept.:

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

 Has knowledge of the requisite analytic tools and techniques and can apply them to new situations under direction of supervisor.

 Can train lower level analysts on how to update and apply these advanced analytic techniques.

 Can explain purpose and basic functionality of these advanced analytic techniques to audiences outside of their job function.

 Acts as the subject matter expert in the data areas of claim, premium, membership, and/or risk score assignment.

 Conduct and develops analysis, assess risk and population risk score sand 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.

 Coordinates, prepares, perform and audits 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.

 Maintains documentation or actuarial analysis and models as well as provides consultation and clarification on actuarial models and other Actuarial work products.

 Develops evaluation and financial reporting standards for internal and external reports. Other duties as assigned.

 Requires college degree with at least a minor in mathematics, statistics, computer science or equivalent business experience.

 May have an ASA designation or has completed the majority of the courses to complete the ASA designation.

 Requires advance knowledge of job area obtained through professional experience and advanced education.

 Typically requires a minimum of 3 to 5 years of professional actuarial experience.


Blue Shield of California

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