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Blue Shield of California

California nonprofit health insurance provider

Actuarial Analyst - Consultant

Actuarial & Risk ModellingConfirmed live in the last 24 hours
Full-time$123.1k - $208.3k

About the Job

Requirements

  • A bachelor's degree in mathematics, statistics, actuarial science, computer science, or a related field is required.
  • Seven years of prior relevant experience as an actuary with deep expertise in a primary domain is required.
  • Demonstrated specialist-level knowledge and independent ownership of complex analyses and deliverables are required.
  • Applied statistical and modeling techniques are required to improve forecasts, assumptions, and business decisions.
  • Ability to evaluate machine learning model results and feature importance to improve performance over time is required.

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.

Desired Qualifications

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

About the Company

Blue Shield of California

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.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
United States
Founded
1939

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