Your Role
The Individual Pricing team is responsible for forecasting, ratemaking, financial reporting, product development, and designing pricing strategies to support our Individual line of business. The Senior Actuarial Analyst will report to the Senior Manager of Individual Pricing. In this role, you will be responsible for key forecasting activities, monthly experience and variance reporting, and supporting the development of pricing strategies to achieve both financial and membership growth goals. In addition, you will work alongside a high-performing team and create a lasting impact in making healthcare more accessible and affordable for individual Californians.
Responsibilities
Your Work
In this role, you will:
- Understand the core principles and functionality of decision, descriptive, and predictive analytic methods including forecasting, statistical, and machine learning techniques
- Conduct and develop analyses, 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 evaluate actuarial risk related analyses
- 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
- Perform data exploration using a combination of statistical programming languages (including, but not limited to R, Python, SQL, SAS) and deploy predictive analytics and machine learning techniques to improve risk prediction, reserves, 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 reports
- Prepare monthly experience and variance reporting, and derive insights that enable cost savings initiatives and pricing strategies to achieve financial and membership growth goals
- Support annual rate filing activities and draft actuarial analyses to assist policy advocacy at the state and federal levels
- Communicate and work with cross-functional leadership in Finance and Actuarial
Qualifications
Your Knowledge and Experience
- Requires a bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
- Requires a minimum of 3 years of professional actuarial experience
- May have an ASA designation or have completed the majority of the courses towards an ASA designation
- Requires advanced knowledge of the job area obtained through professional experience
- Requires advanced proficiency with Microsoft Excel
- Requires proficiency in SQL, SAS and/or Tableau, and experience with common data science toolkits such as R and Python
- Requires robust critical thinking and analytical skills
- Requires excellent written and verbal communication skills
Pay Range:
The pay range for this role is: $ 99770.00 to $ 149710.00 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.
About the Team
Blue Shield of California's mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve. Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.
Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California's top companies in volunteering and giving. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!
Our Values:
- Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
- Human. We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
- Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Our Workplace Model:
At Blue Shield of California, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose - whether working in the office or through a hybrid approach - by providing clear expectations while respecting the diverse needs of our workforce.
Two Ways of Working:
- Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above).Exceptions:
- Member-facing and approved out-of-state roles remain remote.
- Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits.
- For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
- On-Site: Work from a business unit-approved office an average of four (4) or more days a week.
Physical Requirements:
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Please click here for further physical requirement detail.
Equal Employment Opportunity:
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.