Actuarial Analyst, Senior
Company: Blue Shield of California
Location: Oakland
Posted on: October 10, 2024
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Job Description:
Your Role
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The Network and Provider Analytics team drives the development of
an affordable provider network through data analytics and
expertise. The Senior Actuarial Analyst will report to the Senior
Manager. In this role you will perform financial analyses and
modeling for CalPERS provider contracting support including term
changes, renewals, network changes, and terminations for hospitals,
ambulatory surgery centers and other types of providers.
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Your Work
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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 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 deploys 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 - -
Develop evaluation and financial reporting standards for internal
and external reports -
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-Your Knowledge and Experience
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Pay Range:
The pay range for this role is: $ 99000.00 to $ 148500.00 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.
Keywords: Blue Shield of California, Yuba City , Actuarial Analyst, Senior, Professions , Oakland, California
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