Actuarial Analyst, Consultant

Company: Blue Shield of California
Location: Oakland
Posted on: May 5, 2025

Job Description:

Your Role The Risk Adjustment Analytics and Reporting team is looking for a Consultant Actuarial Analyst. The Consultant Actuarial Analyst will report to the Senior Manager of Risk Adjustment Analytics and Reporting. In this role you will help provide analytical support for various prospective programs across multiple lines of business. This involves working closely with risk adjustment models, member targeting and tracking, financial forecasting, and various other analytical requests. Your Work In this role, you will:

• Understand the core principles and functionality of decision, descriptive, predictive, and prescriptive analytic methods including forecasting, statistical and machine learning techniques
• Conduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysis
• Coordinate, prepare, perform, and audit actuarial analyses to assist in the development of complex actuarial formulations leading to the recommendation of pricing, trending, reserving, provider reimbursement and/or risk assessment strategies
• Perform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploy predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies
• Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports
• Perform vendor return on investment analyses to determine ongoing benefit and decision support
• Perform other responsibilities as assigned Your Knowledge and Experience
  
  • Requires a bachelor's degree with at least a minor in mathematics, statistics, computer science or equivalent business experience
  • Requires at least 6 years of professional actuarial experience
  • Requires one to be an independent, proactive problem solver with patience for working on large scale problems
  • Requires programming knowledge (SAS and/or VBA preferred), including sample code (in any language)
  • Requires proficiency with Microsoft Excel
  • Preferred ASA or FSA (but not required), or on track to attain SOA credentials in near future

Keywords: Blue Shield of California, Petaluma , Actuarial Analyst, Consultant, Professions , Oakland, California