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Actuarial Analyst, Senior at Blue Shield of CA

Posted in Other 18 days ago.

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Type: Full Time
Location: Woodland Hills, California





Job Description:

Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California is focused on transforming health care by making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 3.5 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.

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.

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.

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.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.