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Actuarial Analyst, Experienced

Blue Shield Of California

Actuarial Analyst, Experienced

Oakland, United States4mo ago
HybridCommercial Employer Health

Role Summary

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HIGHLIGHTS

Experienced actuarial analyst role in Health focused on provider contracting and network analytics in Oakland, CA. You will build financial models, forecast costs and reserves, analyze provider reimbursement terms, and deploy predictive analytics using R/Python/SQL/SAS. Reports to a Senior Manager and works on provider term changes, renewals, network changes, and terminations.

JOB DESCRIPTION SUMMARY

  • Support provider contracting analytics for hospitals, ASCs, professional groups, and IPAs/MGs
  • Develop pricing, trend, reserve and financial forecasting models
  • Use R, Python, SQL or SAS to explore claims data and deploy predictive models
  • Reprice historical data against contract terms and analyze rate proposals
  • Hybrid role — typically 2 days per week in the office (Oakland, CA)

DOMAIN EXPERTISE

  • No domain expertise specified

KEY REQUIREMENTS

  • Bachelor’s degree required, minor in math/stat/CS or equivalent experience
  • At least 2 years of professional actuarial experience
  • Typically completed 3 courses toward the ASA designation
  • Proficiency in Excel and working with large data sets
  • Experience with R, Python, SQL or SAS (SAS preferred) is expected

TECH STACK

  • Excel