Actuarial Analyst, Experienced

Blue Shield of California • Oakland, CA

33d • Hybrid

About The Position

Your Role The Value Based Care (VBC) Analytics team supports new and innovative payment models, including Accountable Care Organizations (ACO), Virtual Care, and other performance-based incentive programs. The Actuarial Analyst, Experienced, will report to the Value Based Care Analytics Senior Manager. In this role you will support VBC strategies by developing, validating, and maintaining analytic datasets and reporting that inform provider performance on utilization and financial metrics. You will collaborate with a diverse team across multiple roles and functions 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 SAS/SQL
• 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, provider, membership, and risk score sources
• Draft exhibits and narratives for ACA/CMS and state filings, submissions, and internal governance reviews
• 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

What This Job Offers

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