Actuarial Analyst, Consultant

Blue Shield of California • Oakland, CA

5d • 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 will report to the Senior Manager, Actuary. The role performs complex analyses to evaluate pharmacy cost drivers, utilization trends, rebate performance, and emerging market dynamics. It develops forecasting models and supports pricing, financial planning, and strategic initiatives that promote affordability and member access. The role partners primarily with Finance, Actuarial, and Pharmacy stakeholders to deliver data-driven recommendations that influence business decisions and improve financial outcomes.

The position involves analyzing pharmacy and healthcare data; developing and maintaining actuarial, forecasting, and financial models; assessing business opportunities, risks, and the financial impact of initiatives; and translating complex analyses into actionable insights for leadership and operational teams. It also supports financial-results monitoring and strategic projects, and contributes analytic solutions intended to improve affordability, member outcomes, and business performance.

Requirements

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

Nice To Haves

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

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 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