Actuarial Analyst, Experienced
Blue Shield Of California
Actuarial Analyst, Experienced
Oakland,
United States•6mo ago
HybridHealth Other
Role Summary
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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
