Blue Shield of California
Actuarial Analyst, Consultant
Blue Shield of California, California, Missouri, United States, 65018
Overview
6 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Job Description Your Role
The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk Adjustment Retrospective Analytics. In this role you will develop and refine chart targeting lists, quantify the financial impact of the Retrospective program, and support complete and accurate data submission for both Medicare Advantage and ACA Chart Review Programs. Responsibilities
Your Work 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, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysis Coordinate, prepare, perform, and audit actuarial analyses to assist in the development of complex actuarial formulations leading to the recommendation of pricing, trending, reserving, provider reimbursement and/or risk assessment strategies Perform data exploration using a combination of statistical programming languages (including, but not limited to R, Python, SQL, SAS) and deploy predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports Ensure accuracy and completeness of vendor data templates for chart retrieval and coding by performing thorough data validations Review and validate the targeted chart list to confirm alignment with Retrospective program objectives and maintain compliance standards Qualifications
Your Knowledge and Experience Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience Requires at least 6 years of professional actuarial experience Requires proficiency with MS Office, including Excel, Word, PowerPoint Requires ability to create and validate new and existing data analytic processes, in context of broader enterprise objectives Program management skills, along with related ability to rapidly diagnose to root-cause of analytic problems preferred Requires finance experience, including revenue and expense accounting, healthcare enrollment and claims processing experience, and healthcare experience Experience with HHS-Developed Risk Adjustment Model Algorithm for the commercial market preferred Requires excellent written and spoken communication skills of technical material to executive leadership Preferred: An ASA designation and completion of 1 to 2 courses toward FSA designation About The Team
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us! Our Values
Honest.
We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. Human.
We strive to listen and communicate effectively, showing empathy by understanding others' perspectives. Courageous.
We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model
At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce. Two Ways of Working
Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above). Exceptions: Member-facing and approved out-of-state roles remain remote. Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits. For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being. On-Site: Work from a business unit-approved office an average of four (4) or more days a week. Physical Requirements
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail. Equal Employment Opportunity
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. Seniority level
Mid-Senior level Employment type
Full-time Job function
Finance and Sales Industries
Insurance Referrals increase your chances of interviewing at Blue Shield of California by 2x San Francisco, CA $60,300 - $142,080 2 weeks ago Long Beach, CA $71,700 - $103,732 2 weeks ago California, United States $140,000 - $190,000 1 month ago Bakersfield, CA $52.15 - $77.58 6 days ago San Diego, CA $70,000 - $140,000 13 hours ago California, United States $160,000 - $195,000 12 hours ago California, United States $77,000 - $202,000 1 week ago California, United States $77,000 - $202,000 2 weeks ago California, United States $77,000 - $202,000 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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6 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Job Description Your Role
The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk Adjustment Retrospective Analytics. In this role you will develop and refine chart targeting lists, quantify the financial impact of the Retrospective program, and support complete and accurate data submission for both Medicare Advantage and ACA Chart Review Programs. Responsibilities
Your Work 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, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysis Coordinate, prepare, perform, and audit actuarial analyses to assist in the development of complex actuarial formulations leading to the recommendation of pricing, trending, reserving, provider reimbursement and/or risk assessment strategies Perform data exploration using a combination of statistical programming languages (including, but not limited to R, Python, SQL, SAS) and deploy predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports Ensure accuracy and completeness of vendor data templates for chart retrieval and coding by performing thorough data validations Review and validate the targeted chart list to confirm alignment with Retrospective program objectives and maintain compliance standards Qualifications
Your Knowledge and Experience Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience Requires at least 6 years of professional actuarial experience Requires proficiency with MS Office, including Excel, Word, PowerPoint Requires ability to create and validate new and existing data analytic processes, in context of broader enterprise objectives Program management skills, along with related ability to rapidly diagnose to root-cause of analytic problems preferred Requires finance experience, including revenue and expense accounting, healthcare enrollment and claims processing experience, and healthcare experience Experience with HHS-Developed Risk Adjustment Model Algorithm for the commercial market preferred Requires excellent written and spoken communication skills of technical material to executive leadership Preferred: An ASA designation and completion of 1 to 2 courses toward FSA designation About The Team
About Blue Shield of California
As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us! Our Values
Honest.
We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short. Human.
We strive to listen and communicate effectively, showing empathy by understanding others' perspectives. Courageous.
We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals. Our Workplace Model
At Blue Shield of California and the Ascendiun Family of Companies, we believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility. As we continue to evolve our workplace model, our focus remains on creating spaces where our people can connect with purpose – whether working in the office or through a hybrid approach – by providing clear expectations while respecting the diverse needs of our workforce. Two Ways of Working
Hybrid (Default): Work from a business unit-approved office at least two (2) times per month (for roles below Director-level) or once per week (for Director-level roles and above). Exceptions: Member-facing and approved out-of-state roles remain remote. Employees living more than 50 miles from their assigned offices are expected to work with their managers on a plan for periodic office visits. For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being. On-Site: Work from a business unit-approved office an average of four (4) or more days a week. Physical Requirements
Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail. Equal Employment Opportunity
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. Seniority level
Mid-Senior level Employment type
Full-time Job function
Finance and Sales Industries
Insurance Referrals increase your chances of interviewing at Blue Shield of California by 2x San Francisco, CA $60,300 - $142,080 2 weeks ago Long Beach, CA $71,700 - $103,732 2 weeks ago California, United States $140,000 - $190,000 1 month ago Bakersfield, CA $52.15 - $77.58 6 days ago San Diego, CA $70,000 - $140,000 13 hours ago California, United States $160,000 - $195,000 12 hours ago California, United States $77,000 - $202,000 1 week ago California, United States $77,000 - $202,000 2 weeks ago California, United States $77,000 - $202,000 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr