Your Role

The Network Trend Analytics team is responsible for performing financial modeling and analytics for provider contract negotiations for Medicare and Medi-Cal IPA and Medical Group contracting. This role also will involve behavior health related work that supports provider analytics. The Associate Actuarial Analyst will report to the Principal Actuarial Analyst. In this role you will be applying your analytical toolset to project future unit cost trends and drive the development of an affordable provider network.

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, computer science or related discipline or equivalent business experience
• 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

Pay Range:

The pay range for this role is: $ 31.73 to $ 44.41 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.