Responsible for pricing, risk management, reserving, forecasting, trend setting and actuarial administration including conducting analysis, monitoring, evaluating, and reporting of the effectiveness of rating formula and participating in the development of new products.
Actuarial Analyst - Provides Actuarial department with pricing support, calculating reserves, risk assessment/analysis, data reporting, financial forecasting/projections, creating filings and/or performing financial and risk analysis in changes to provider contracts to help meet company goals of providing low-cost healthcare and meeting earnings objectives.
May perform a combination of the following depending on discipline/dept.:
Understands the core principles and functionality of decision and descriptive analytics including analyzing historical data, past performance and trends.
Has knowledge of the requisite analytic tools and techniques and can apply them to new situations under direction of supervisor.
Begins to become a subject matter expert in the data areas of claim, premium, membership, and/or risk score assignment.
Conduct analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysis.
Usually assigned to a line of bus or unit for analyzing loss and expense reserves, developing rate indicators, evaluating pricing levels, analyzing profitability and communicating results to more senior actuaries.
Assists in preparing the actuarial portions of the financial statements and the federal income tax returns.
Maintains, produces and/or reviews timely production of various standard analytic reports for internal and/or external use.
Other duties as assigned.
Requires college degree with at least a minor in mathematics, statistics, computer science or equivalent business experience.
Typically, has completed 3 courses towards the eventual attainment of the Associate, Society of Actuaries (ASA) designation.
Requires practical knowledge of job area obtained through professional experience and advanced education.
Typically requires a minimum of 2 to 3 years of professional actuarial experience.
Medi-Cal experience preferred but not required.
Expertise working with Microsoft office and/or working knowledge of SQL/SAS.
Blue Shield Of California