Actuarial Analyst, Principal

BlueShield Of California
Oakland, CA Full Time
POSTED ON 6/27/2024 CLOSED ON 8/26/2024

What are the responsibilities and job description for the Actuarial Analyst, Principal position at BlueShield Of California?

Job Details

JOB DESCRIPTION

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


QUALIFICATIONS

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.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Salary : $145,970 - $218,900

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