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Actuarial Analyst, Experienced

Blue Shield Of California

Actuarial Analyst, Experienced

Oakland, United States6mo ago
HybridHealth Other

Role Summary

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HIGHLIGHTS

Associate-level health actuarial analyst supporting provider contracting and network analytics in Oakland, CA. You will build forecasts, develop reserves, analyze provider reimbursement terms, and deploy predictive models using R/Python/SQL/SAS. Reports to a Senior Manager on the Network and Provider Analytics team in a hybrid work model.

JOB DESCRIPTION SUMMARY

  • Analyze provider contracts and reprice historical claims to assess financial impact
  • Develop reserves, trend reporting, and financial forecasting for provider networks
  • Apply predictive analytics and machine learning using R, Python, SQL, and SAS
  • Work on the Network and Provider Analytics team in a hybrid Oakland, CA role
  • Associate-level role requiring at least 2 years of actuarial experience

DOMAIN EXPERTISE

  • healthcare claims data analysis
  • provider contracting and reimbursement analysis
  • pricing and trend analysis
  • reserving and forecasting
  • provider network analytics

KEY REQUIREMENTS

  • Bachelor’s degree (math/statistics/computer science minor preferred) required
  • At least 2 years of professional actuarial experience
  • Experience analyzing healthcare claims data, trends, and forecasting
  • Proficiency in Excel and comfort working with large datasets

TECH STACK

  • Excel