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

RlZreU9EeW5ZbjU4QnlTa3dMcWJPNzZhVGc9PQ==
  • Blue Shield of California
  • Oakland, CA

Job Description

Your Role

 

The Network and Trend Analytics team drives the development of an affordable provider network through data analytics and expertise. The Experienced Actuarial Analyst will report to the Actuarial Manager. In this role you will manage the unit cost tracking database and be responsible for actuarial analysis and reporting.

Your Work

 

In this role, you will:

  • Understand the core principles and functionality of decision, descriptive, predictive and prescriptive analytic methods including forecasting, statistical and machine learning techniques
  • 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
  • Perform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploy 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
  • Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports
  • Understand and accurately track the unit cost trend, support database upgrade
  • Generate reports and analysis from unit cost tracking database, respond to requests from inside and outside of the team

 

Your Knowledge and Experience

  • Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
  • Requires at least 2 years of professional actuarial experience
  • Requires proficiency in Excel and Access
  • Prefers proficiency in VBA and SAS

Job Tags

Similar Jobs

WELLS

EHS SAFETY COORDINATOR Job at WELLS

 ...GENERAL DESCRIPTION: The EHS Safety Coordinator plays a pivotal role in assisting with the planning, coordination, training, and advisement of Wells' safety program. The role will collaborate with plant, field, and contractors to achieve Wells' safety strategy and... 

Public Schools of Robeson County

ART TEACHER Job at Public Schools of Robeson County

 ...REPORTS TO: Principal SUPERVISES: May coordinate and direct the activities of teacher assistants. PURPOSE: To plan, organize and present instruction and instructional environments that help students learn subject matter and skills that will contribute to their... 

Focus Staff

Travel Nurse RN - Labor and Delivery - $2,306 per week Job at Focus Staff

 ...optimal continuity of care. Provides clinical supervision for entry level nurses and assists in their development. Contract Assignment...  ...communication and education Working collaboratively with medical staff Providing quality care in a compassionate and professional... 

Insight Global

Background Investigator Job at Insight Global

 ...Position: Applicant Processor/Background Investigator Location: Baltimore, MD (Hybrid 2/3 days) Start Date: ASAP Pay Rate: $38-$45/hr Must Haves: Associate's Degree in related field (equivalent combination of education or work experience may be substituted... 

Technogen, Inc.

Mobile Application Developer Job at Technogen, Inc.

 ...Location: Woodlawn, MD (Onsite 5 days) Key Required Skills Building modern mobile applications that seamlessly integrate with legacy COBOL and Java backend systems while utilizing the latest technologies such as Swift, Flutter, Kotlin, Vue 3, and React Native....