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Analyst Actuarial III Sr

San Francisco, CA

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Analyst, Actuarial III Sr','18001ON','!*!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. **MEMBERS ONLY**SIGN UP NOW***.’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 **MEMBERS ONLY**SIGN UP NOW***. 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.','!*!The Network Trend & Analytics (NTA) team provides strategic guidance and financial decision support for **MEMBERS ONLY**SIGN UP NOW***. (BSC)’s provider contracting efforts.  NTA is seeking an Intermediate Actuarial Analyst to support Blue Shield’s value networks and payment reform initiatives. This individual must be a self-starter and have a strong desire to work on the cutting edge of healthcare payment innovation.
Responsibilities include:

Provide strategic/analytic support for critical cross-functional BSC initiatives to optimize its products’ network design and develop value-based payment systems
Maintains and produces timely standard analytic reports for internal and/or external use
Analyzes the financial impact of changes in provider reimbursement and contracting terms
Assists in preparing the actuarial portions of financial statements
Compiles, evaluates and certifies statistical data on healthcare costs
Calculates premiums or reserves for new or existing products, and may perform research, experience studies and other statistical analyses.
May be rotate 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','!*!
Bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience, Advanced degree is a plus
At least 2 years of professional actuarial experience
At least 2 years of financial or healthcare claims data experience
Passed 1-2 exams required for certification as an Associate of the Society of Actuaries
Demonstrated ability to lead/engage cross-functional teams and influence key decisions
Demonstrated ability to present and communicate results to executive audiences
Ability to manage projects and drive for results independently
Knowledge and application of healthcare data analysis principles, concepts and standards
Hands-on experience in data analysis tools, including but not limited to SAS, SQL, SPSS, Access, and/or Tableau.
Advanced Microsoft Excel and proficiency in PowerPoint
Knowledge of healthcare payment innovation and reimbursement','Actuarial','United States of America-California-San Francisco','','Finance','Full-time','Jun 1, 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 III Sr

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