Actuarial Analyst, Experienced

Job description

Your Role The Pay for Value team supports the program design, budget setting, and operations of Blue Shield of California’s value-based care (VBC) payment models, including Accountable Care Organization (ACO), Virtual Care, and other innovative incentive programs. The Actuarial Analyst, Experienced will report to the Actuarial Manager of the Pay for Value team. In this role you will support reporting and analytical work across various programs, collaborating with colleagues from diverse backgrounds and roles within the company. Your Work: In this role, you will: Support program reporting and analytics, including cost target setting, reconciliation, forecasting, and "what-if" modeling to inform strategy development Collaborate with internal teams and cross-functional partners to support program development and ensure alignment with BSC healthcare affordability and quality objectives Perform ad-hoc actuarial analyses to support various business needs and provide actionable insights and recommendations based on these analyses Understand how other network initiatives and alternate payment models interplay and affect VBC programs and relationships - Understand the core principles and fu...