Actuarial Analyst, Consultant
Blue Shield Of California
Actuarial Analyst, Consultant
Oakland,
United States•4mo ago
HybridNot Specified
Role Summary
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Senior health actuarial analyst role on Blue Shield’s Network and Trend Analytics team in Oakland, CA (hybrid). You will lead financial analyses, forecasting, and repricing of provider contracts using SQL, SAS, and Excel, partnering with network management to inform contracting strategy. Requires ~6+ years' actuarial experience and an ASA designation.
JOB DESCRIPTION SUMMARY
- Lead financial analyses for provider contracting across physician groups and hospitals
- Forecast trends and analyze healthcare claims in a managed care setting
- Build and maintain SAS/SQL queries and Excel-based financial models
- Partner with network management on contracting and reimbursement strategy
- Senior role requiring ASA and at least 6 years of professional actuarial experience
DOMAIN EXPERTISE
- Healthcare claims data analysis in managed care
- Trend forecasting and financial modeling
- Provider contract financial analysis and reimbursement methodologies
KEY REQUIREMENTS
- 6+ years of professional actuarial experience
- 5+ years analyzing healthcare claims data in a managed care setting
- ASA designation (typically obtained)
- Proficiency with SQL and/or SAS and strong Excel skills
- Bachelor’s degree (minor in math, statistics, or computer science preferred)
TECH STACK
- Excel
