Actuarial Analyst, Principal Job at Blue Shield of California, Oakland, CA

T280Q2ZWM3YyM25nWHFFcFFVL0JDblZFZ3c9PQ==
  • Blue Shield of California
  • Oakland, CA

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

 

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.

Job Tags

Shift work,

Similar Jobs

CHRISTUS Health

Clinical Nurse (LPN - RN) Inpatient Rehab/ Per Diem Job at CHRISTUS Health

 .... Description POSITION SUMMARY: Assists the professional nursing staff by performing duties in caring for hospitalized patients under...  ...nursing. CERTIFICATION/LICENSES: Current New Mexico LPN license required. BLS Certification required or must be obtained... 

Professional Employment PDC

Dentist (Ownership Opportunity) Job at Professional Employment PDC

 ...Job Description Job Description Description: Become an Dentist with Platinum Dental Services - Empower Your Future! Why Partner with Platinum Dental Services as a dentist? Monthly Spear Study Club: We invest in your growth (paid for by us!). Vested Equity... 

Medicorp, Inc. dba Physician Empire

Physician Neurology - Competitive Salary Job at Medicorp, Inc. dba Physician Empire

 ...Job Description Neurology in Miami Near Coral Gables, Miami International Airport (MIA) & downtown Miami in Little Havana Less than 10 miles to Hialeah Must be fluent in English & Spanish Join a ~30 year old private group as they add an Neurologist to their... 

Greater Minnesota Farmers Insurance

Medicare Sales Agent Job at Greater Minnesota Farmers Insurance

Medicare Sales AgentBecome a vital part of District 54 Insurance as a Medicare Sales Agent, where your expertise and enthusiasm will drive our mission to provide exceptional Medicare solutions to our valued clients in the vibrant locale of Rochester, Minnesota. Our hybrid... 

ABB

Assembler - Manufacturing Job at ABB

 ...At ABB, we help industries outrun - leaner and cleaner. Here, progress is an expectation - for you, your team, and the world. As a global market leader, we'll give you what you need to make it happen. It won't always be easy, growing takes grit. But at ABB, you'll never...