Your Role
The Actuarial Pay for Value team supports the design, evaluation, and advancement of value-based care payment models, provider incentives, and new program concepts that improve affordability, quality, provider performance, and member outcomes. The Associate Actuarial Analyst will report to the Senior Manager, Actuarial Pay for Value. In this role, you will develop foundational actuarial, analytical, and health care business skills while supporting financial modeling, reporting, and analyses that help translate innovative payment and provider strategy concepts into actionable insights.
Your Work
In this role, you will:
Learn various actuarial techniques and procedures by: conducting analysis, assessing risk and population risk scores and assignment, developing pricing and trends, assessing changes in benefit designs, developing reserves, performing forecasting, analyzing provider reimbursement terms and/or evaluating actuarial risk related analysis
Compile and categorize data, documenting and verifying the factors used in computations such as those used in evaluating loss and expense reserves, preparing rate filings, schedules of statistics, premiums, benefits, member risk data and score submissions and establishing rating and pricing levels
Produce timely various standard analytic reports for internal and/or external use
Study for exams towards credentials
Your Knowledge and Experience
Requires a bachelor’s degree in mathematics, statistics, actuarial science, computer science, or a related field
Typically, has completed 1 to 2 courses towards the eventual attainment of the Associate, Society of Actuaries (ASA) designation.
No previous professional actuarial experience required but typically has obtained broad theoretical job knowledge through advanced education.
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable. The health plan is a tax paying, nonprofit, independent member of the Blue Shield Association with nearly 6 million members, over 7,500 employees and more than $25 billion in annual revenue.
Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California. The company has contributed more than $60 million to Blue Shield of California Foundation in the last three years to have an impact on California communities.
For more news about Blue Shield of California, please visit news.blueshieldca.com.
