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

Luminize

Supply Chain Analyst (Amazon Marketplace) Job at Luminize

&##128640; Help Brands Win on Amazon - and Love Where You Work &##128205; Role: Amazon Supply Chain Analyst &##128205; Location: San Diego, CA 92101 (Onsite at Symphony Towers)&##128176; Compensation Range: $30$35/hr Non-exempt At Luminize , we help brands... 

SmartTalent

Furniture Installer Job at SmartTalent

 ...SmartTalent Staffing is looking to hire an Installer for a furniture dealer in Kent, WA (Details below) TITLE: Furniture Installer LOCATION : Kent, WA SCHEDULE : Monday - Friday, 6:00am 2:30pm + OT when needed PAY : $21-$27 BENEFITS OFFERED: Paid... 

BlueCross BlueShield of South Carolina

Provider Relations & Education Specialist Job at BlueCross BlueShield of South Carolina

A major health insurance company in Columbia, SC is seeking an Entry-level Provider Relations Representative to develop and deliver training materials for network providers. The ideal candidate will have a Bachelor's degree and 2 years of experience in customer service... 

Erasouth

Community Engagement Coordinator Job at Erasouth

 ...please visit Identify, cultivate, and network with corporate, community, and individual prospects to advance the mission of Bridging....  ...build projects (onsite and offsite) with the Roseville Community Engagement Coordinator.Promote, coordinate, and track all data/KPIs... 

Vitae Health Systems

Licensed Marriage and Family Therapist (LMFT) Job at Vitae Health Systems

 ...Licensed Marriage And Family Therapist (LMFT) - Psychotherapy Role Join Our Team Founded in 2017, Vitae Health Systems is one of the largest providers of behavioral health, internal medicine and podiatry services to the residents of Skilled Nursing and Assisted...