Actuarial Analyst Senior

California Physicians' Service - Oakland, CA

Full-time - Mid Level

Oakland, CA

Insurance Carriers and Related Activities

About the position

The Senior Actuarial Analyst will play a crucial role in the Actuarial Provider Strategies team at Blue Shield of California, focusing on the design and implementation of value-based care payment models. This position involves conducting complex analyses to improve the affordability and quality of care for members, while collaborating with various teams across the organization.

Responsibilities

• Understand core principles and functionality of decision, descriptive, and predictive analytic methods.
• Conduct and develop analysis, assess risk and population risk scores, and develop pricing and trends.
• Coordinate, prepare, perform, and audit actuarial analyses for complex formulations.
• Perform data exploration using statistical programming languages and deploy predictive analytics.
• Develop evaluation and financial reporting standards for internal and external reports.
• Support the creation of innovative Value-Based Care designs and strategies.
• Provide financial modeling, forecasting, and analytical support for VBC programs.
• Develop and present financial materials to key stakeholders and leadership.
• Create dashboards, scorecards, and reporting tools using data visualization tools.
• Provide guidance and mentorship to junior actuarial analysts.

Requirements

• Bachelor's degree with a minor in mathematics, statistics, computer science, or equivalent business experience.
• At least 3 years of professional actuarial experience.
• Prior healthcare industry experience.
• Strong communication, presentation, and creative problem-solving skills.
• Excellent organizational and project management skills.
• Advanced experience in Microsoft Excel and SAS/SQL.

Nice-to-haves

• Proficiency in data visualization tools such as Tableau and/or Power BI.