Actuarial Analyst, Experienced
Blue Shield of California · Oakland, California, US
Your Role The Medi-Cal team supports Blue Shield of California Promise Health Plan with their Medicaid operations. The Actuarial Analyst, Experienced will re...
Job description
Your Role The Medi-Cal team supports Blue Shield of California Promise Health Plan with their Medicaid operations. The Actuarial Analyst, Experienced will report to the Actuarial Senior Principal of the Medi-Cal team. In this role you will support the core actuarial work needed to support the Medi-Cal line of business, including monthly financial close, plan projections and accruals, savings initiatives, capitation rate reviews, and trend analysis. Your Work: In this role, you will: - Understand the core principles and functionality of decision, descriptive, predictive and prescriptive analytic methods including forecasting, statistical and machine learning techniques - Conduct and develop analysis, assess risk and population risk scores and assignment, review pricing and trends, assess changes in benefit designs, review reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysis - Coordinate, prepare, perform and audit actuarial analyses to assist the review of pricing, trending, reserving, provider reimbursement and/or risk assessment strategies - Perform data exploration using a combination of statistical programming langu...