Actuarial Analyst, Principal

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  Your Knowledge and Experience Requires a bachelor's degree in mathematics, statistics, computer science or equivalent business experienceRequires an ASARequires at least 8 years of professional actuarial experienceRequires at least 1 year of pricing experience, with experience in multiple lines of business desiredRequires at least 2 years of experience in actuarial provider contracting analysis 

Created: 2025-04-01