Role Summary

HIGHLIGHTS

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

Role Summary

HIGHLIGHTS

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