Actuarial Analyst, Consultant

Blue Shield of California • Oakland, CA

19h • $123,090 - $208,320 • Hybrid

About The Position

The Pharmacy Finance Analytics team provides analytics and actuarial support for pharmacy pricing, trend, forecasting, rebate analysis, formulary strategy, and financial performance. The Actuarial Analyst, Consultant will report to the Senior Manager, Actuary. In this role you will perform complex analyses to evaluate pharmacy cost drivers, utilization trends, rebate performance, and emerging market dynamics. You will develop forecasting models and support pricing, financial planning, and strategic initiatives that promote affordability and member access. You will partner primarily with Finance, Actuarial, and Pharmacy stakeholders to deliver data-driven recommendations that influence business decisions and improve financial outcomes.

Requirements

• Requires a Bachelor’s degree in mathematics, statistics, actuarial science, computer science, or a related field
• Requires 7 years of prior relevant experience as an actuary with deep expertise in a primary domain
• Requires demonstrated specialist-level knowledge and independently owned complex analyses and deliverables
• Requires applied statistical and modeling techniques to improve forecasts, assumptions, and business decisions
• Requires evaluation of machine learning model results and feature importance to improve performance over time

Nice To Haves

• Attained ASA, Associate of the Society of Actuaries preferred
• Experience analyzing pharmacy trends, drug utilization, rebates, formulary strategies, or pharmacy financial performance is preferred.

Responsibilities

• Analyze pharmacy and healthcare data to identify trends, evaluate financial performance, and support strategic decision-making.
• Develop and maintain actuarial, forecasting, and financial models that support pricing, budgeting, and business planning.
• Partner with cross-functional stakeholders to assess business opportunities, risks, and the financial impact of key initiatives.
• Translate complex analyses into clear, actionable insights for leadership and operational teams.
• Support ongoing monitoring of financial results, emerging market trends, and drivers of healthcare cost and utilization.
• Contribute to the development of innovative analytic solutions that improve affordability, member outcomes, and business performance.
• Lead and support ad hoc analyses, regulatory submissions, and strategic projects across the organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior