Blue Shield of California
Analyst, Actuarial IV Consultant/Lead','18001MP','!*!Looking for a chance to do meaningful work that touches millions? Come join the hardest working, nonprofit health plan in California and help us shape the future of health care. Blue Shield of California’s Mission is to ensure all Californians have access to high-quality care at an affordable price. Blue Shield is focused on improving health care delivery by working closely with providers and making it more accessible, affordable and customer-centric. Being a mission-driven organization means we do much more than serve our 4 million members: we were the first health plan in the nation to limit our annual net income to 2 percent of revenue and return the difference to our customers and the community, and since 2005 we have contributed more than $325 million to the Blue Shield of California Foundation to improve community health and end domestic violence. We also believe that a healthier California begins with our employees, so we provide them with resources to develop and maintain a healthy lifestyle through our award-winning wellness program, Wellvolution. We're hiring smart thinkers and doers who want to work for a leader and innovator in the challenging, ever-changing healthcare space. Come and help us make health care better for everyone.','!*!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 in order to help BSC meet its goals of providing low-cost healthcare and meeting earnings objectives. Responsibilities:
May perform a combination of the following depending on discipline/dept:
Conducts analysis, pricing and risk assessment to estimate financial outcomes.
Develops evaluation and financial reporting standards.
May act as project lead on actuarial studies, pricing strategies and policies.
Works closely with Product Management to prepare financial forecasts to achieve profitability and growth goals.
Analyze changes in provider reimbursement terms and recommends more cost efficient alternatives.
Responsible for comprehensive and accurate peer review of other analyst work product.
Provides actuarial information to produce revenue forecasts and financial reports.
Provides actuarial analyses, responses and communication to product areas.','!*!Education/Requirements: Position requires college degree with at least a minor in mathematics, statistics, computer science or equivalent business experience. Typically has completed seven courses or the equivalent # of courses towards the eventual attainment of the FSA. Minimum Experience Level: Typically requires six years of professional actuarial experience. Supervisory responsibilities: May provide guidance to lower level staff. May assist in the training of Actuarial trainees, analysts and specialists.','Actuarial','United States of America-California-San Francisco','','Finance','Full-time','May 16, 2018','External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.','Analyst, Actuarial IV Consultant/Lead
Blue Shield of California, an independent member of the Blue Shield Association, is a nonprofit health plan dedicated to providing Californians with access to high-quality health care at an affordable price.As a nonprofit health plan, Blue Shield is guided by our mission and values, which encourage innovation and enable us to be a catalyst for constructive change. Our mission and values are embodied in our proposal to guarantee health coverage for all Californians, the first time a major health plan has called for universal coverage. See our 2015 Mission Report.