Actuarial Analyst, Experienced

Blue Shield of California • Long Beach, CA

33d • Hybrid

About The Position

The Pay for Value team supports the program design, budget setting, and operations of Blue Shield of California’s value-based care (VBC) models, including Accountable Care Organization (ACO), Primary Care, Virtual Care, and other innovative programs. The Actuarial Analyst, Experienced will report to the Actuarial Director of the Pay for Value team. In this role you will support reporting and analytical work across various programs, collaborating with colleagues from diverse backgrounds and roles within the company.

Requirements

• Requires a bachelor’s degree in mathematics, statistics, actuarial science, computer science, or a related field
• Requires 2 years of prior relevant experience building repeatable analyses and documentation using claims, premium, and membership data
• Requires demonstrated understanding of basic regulatory concepts and filing support requirements under guidance
• Requires advanced experience and skillset in Microsoft Excel and SQL
• Requires curiosity and willingness to adopt new technologies, including AI-enabled tools, to assist with analytical work, while exercising sound professional judgment
• Requires strong communication and presentation skills

Nice To Haves

• Experience with data visualization tools such as Power BI or Tableau preferred
• Prior healthcare industry experience preferred
• Completed 3 actuarial exam courses toward ASA, Fellow of the Society of Actuaries or equivalent progress preferred

Responsibilities

• Execute pricing, reserving, forecasting, and risk score analyses with limited supervision
• Own data pulls, quality checks, and documentation across claims, premium, membership, and risk score sources
• Maintain and enhance standard reporting to surface drivers, trends, and emerging risks
• Translate results into clear summaries for more senior actuaries and business partners
• Improve workflows and controls through template, code, and process updates
• Support VBC program reporting and analytics, including cost target setting, reconciliation, forecasting, and "what-if" modeling to inform strategy development
• Collaborate with internal teams and cross-functional partners to support VBC program development and ensure alignment with BSC healthcare affordability and quality objectives
• Perform ad-hoc actuarial analyses to support various business needs and provide actionable insights and recommendations based on these analyses
• Understand how other network initiatives and alternate payment models interplay and affect VBC programs and relationships

What This Job Offers

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