Actuarial Analyst
Blue Shield of California
Actuarial Analyst
Blue Shield of California
California nonprofit health insurance provider
Your Role
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.
Your Knowledge and Experience
Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
Your Work
In this role, you will:
Pay Range for California: $123090.00 to $184800.00
Pay Range for Bay Area: $138756.00 to $208320.00
California nonprofit health insurance provider
Blue Shield of California is a nonprofit health plan provider that offers medical insurance options for individuals, families, and employers within California. It operates as a mutual benefit corporation and maintains a broad network of healthcare professionals and facilities, enabling members to access care and manage claims through an online portal. Its services include preventive care programs and digital health coaching, with prior authorization required for certain medical, surgical, and some prescription drugs to control costs and ensure medical necessity. The company draws a substantial portion of its membership from CalPERS and focuses on delivering stable, affordable access to care within the state. Its goal is to provide members with reliable health coverage, a wide provider network, and tools to manage their health and expenses efficiently.
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