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Salary
$116k - $174k
Experience
5+ Years

Role Summary

Role type

Pricing partner to provider contracting

Closer to a live payment-strategy partner than a modelling-heavy IC because the models directly shape provider contracts, implementation, and operations.

Senior Health actuarial role in Oakland, California, supporting value-based payment programs across hospital, specialty care, and vendor arrangements. You will build pricing, reserving, forecasting, predictive analytics, and financial models, then partner with clinical, network, finance, operations, and senior leaders through contracting and implementation. The role is hybrid, typically requiring two office days per week.

Requirements

Must have

  • Bachelor's degree in mathematics, statistics, actuarial science, computer science, or related field
  • 5 years of prior relevant experience in pricing, reserving, forecasting, or risk analytics
  • Hands-on experience with medical and pharmacy claims, eligibility, and provider reimbursement data
  • Advanced proficiency in Excel and SQL or comparable language (Python or R)
  • Strong communication, problem-solving, and project management skills

Nice to have

  • Experience developing dashboards or reporting solutions using Power BI or Tableau
  • Experience with value-based care, provider contracting, alternative payment models, or vendor/program evaluation
  • ASA designation (Associate of the Society of Actuaries)
  • FSA designation (Fellow of the Society of Actuaries)

Skills & Domain

ToolsExcelPower_BITableauDatabricksSnowflake
DomainMedical and pharmacy claims analysisProvider reimbursement dataValue-based payment strategies

Job Overview

Salary
$116k - $174k
Experience
5+ Years

Ideal Candidate Profile

Ideal for a Senior Health actuary with at least five years of pricing, reserving, forecasting, or risk analytics experience. An ASA or FSA is preferred, along with claims and provider reimbursement data expertise, strong SQL/Python/R skills, and the ability to influence payment strategy.

Benefits

Hybrid Work

Actuarial Analyst, Senior

Blue Shield Of California

Health/Insurer/Senior Manager Level
Blue Shield Of California

Actuarial Analyst, Senior

Blue Shield Of California

Oakland, California, United States · Hybrid · Today

Not Specified

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