Actuarial Analyst, Senior

Actuarial Analyst, Senior

Your Role

The Medicare and Medi-Cal actuarial forecasting team is responsible for forecasting, variance analysis, and business insights for Blue Shields Medicare and Medi-Cal products. The Senior Actuarial Analyst will report to the Senior Director of Consumer Pricing. In this role you will analyze revenue and cost of healthcare for Medicare and Medi-Cal.

Your Work

In this role, you will:

• Understand the core principles and functionality of decision, descriptive and predictive 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 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
• Develop evaluation and financial reporting standards for internal and external reports

Your Knowledge and Experience

• Requires a bachelors degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
• At least 3 years of professional actuarial experience
• Desired experience working with Medicare and Medicaid

Pay Range:

The pay range for this role is: $ 96800.00 to $ 145200.00 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.