Job Description

Your Role

The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle will report to the Senior Director, Select, ASO & Specialty Pricing. In this role you will be responsible for all Actuarial support for the CalPERS PPO product. This role will include responsibilities across all the major Actuarial disciplines, including forecasting, pricing, cost of healthcare analysis, and reserve setting.

Your Work

In this role, you will:

• Understand the core principles and functionality underlying decision, descriptive, predictive, and prescriptive advanced analytic methods
• 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
• Lead, coordinate and/or develop strategic, market and competitive analysis
• Work directly with Senior Leadership, up to and including the CEO, to manage this exciting new product and ensure Blue Shield is achieving our commitments to CalPERS

Your Knowledge and Experience

• Requires a bachelor's degree in mathematics, statistics, computer science or equivalent business experience
• Requires an ASA and must be working towards the completion of an FSA
• Requires at least 8 years of professional actuarial experience
• Pricing and forecasting experience is preferred

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.

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