Actuarial Analyst, Senior

Your RoleThe Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Senior Actuarial Analyst will report to the Senior manager of Actuarial Provider Strategies and work closely with their team and with colleagues from various backgrounds and roles within the company. Your WorkIn this role, you will:Understand the core principles and functionality of decision, descriptive and predictive analytic methods including forecasting, statistical and machine learning techniquesConduct 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 strategiesPerform 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 reportsDevelop and support the creation of innovative Value-Based Care (VBC) designs and strategiesProvide financial modeling, forecasting, and analytical support for VBC programsDevelop, direct, and coordinate evaluation and financial reporting standards for internal and external reportsDevelop and present financial materials to key stakeholders and leadership such as Network, Payment Innovation, Clinical and Actuarial partnersDevelop dashboards, scorecards, and other reporting tools using data visualization tools such as Excel, Tableau, and/or Power BIProvide guidance and mentorship to junior actuarial analystsYour Knowledge and ExperienceRequires a bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experienceRequires at least 3 years of professional actuarial experienceRequires prior healthcare industry experienceRequires strong communication, presentation, and creative problem-solving skills Requires excellent organizational and project management skillsRequires advanced experience in Microsoft Excel, and SAS/SQLProficiency in data visualization tools such as Tableau and/or Power BI preferredPay Range:The pay range for this role is: $ 99000.00 to $ 148500.00 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.

Created: 2024-11-06