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

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  • Blue Shield of California
  • Oakland, CA

Job Description

Your Role

 

The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to project the future costs and premiums for the Large Group customers, as well as additional analysis and reporting for emerging results.

 

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
  • 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
  • Produce timely various standard analytic reports for internal and/or external use
  • Study for exams towards credentials

 

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
  • Typically, has completed 1 to 2 courses towards the eventual attainment of the Associate, Society of Actuaries (ASA) designation

 

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