Jobs · Finance · California

Actuarial Analyst, Consultant

Blue Shield of California · California, United States · 1 mo ago
HybridFinance$123k–$185k/yrFull-time
We need to output HTML fragment with sections: About the role (maybe from "Your Role" ), Responsibilities ( from "Your Work In this role, you will:" ), Qualifications ( from "Qualifications" ), Pay ( we have pay ranges for CA and Bay Area for two roles? Actually there are two roles: Actuarial Analyst and Actuarial Analyst, Principal. The posting includes both? The job description seems to combine both? It includes "Your Role" then responsibilities, then "Future Opportunities", then "Qualifications" with subparts for Actuarial Analyst, Consultant and Actuarial Analyst, Principal. Also there is "Hybrid" schedule info. Also "About Us". We need to include sections only when there is real specific content. We should not repeat job title. We should not include Job ID etc. Remove boilerplate: cookie/navigation/legal/EEO etc. Also remove "Future Opportunities" maybe it's not a standard heading but could be considered a section? The instruction says use headings for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we should map content to those headings. "About the role" from "Your Role". "Responsibilities" from "Your Work In this role, you will:" and maybe also the bullet list. "Qualifications" from "Qualifications". "Pay" from pay ranges. "Schedule" from hybrid info. "About Us" maybe not a standard heading but could be considered "About the role"? Actually "About Us" is separate but not in list; we could omit or maybe treat as "About the role"? The instruction says use those headings; we should not create other headings. So we should omit "About Us" unless we map to "About the role"? But "About the role" already used for role description. "About Us" is company info; maybe we can omit as not required heading. However we need to preserve ALL substantive information; we cannot omit company info if it's substantive. But we could include it under a

without a heading? The instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid other headings, but says use those for section headings. It says "include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text". It doesn't forbid other headings, but we should follow the pattern. Safer to include "About Us" as a

without heading, or maybe under a heading "About the role"? But that would be confusing. We could include a heading "About the role" for role description, and then after that include a paragraph about the company under maybe a heading "About the company"? Not in list. Might be okay to add a heading not in list? The instruction says use those for section headings, implying we should stick to those. But we could still include other headings if needed? The instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It gives examples, not exclusive. So we could use other headings if appropriate, but better to stick to given ones. However we need to preserve all substantive info; we could put company info under a

after the qualifications without a heading. That's acceptable. We also need to remove duplicated lines, boilerplate like EEO, etc. Also remove "Future Opportunities" maybe it's not a standard heading; we could treat it as a paragraph under maybe "About the role"? But it's about future opportunities; we could include as a paragraph under "About the role" or separate paragraph. We need to preserve all substantive info: responsibilities list, qualifications details, pay ranges, hybrid schedule, about us mission/values, workplace model, physical requirements maybe? Physical requirements maybe not needed? It's substantive but could be included as paragraph. We must not include cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. So remove the EEO paragraph, the "Physical Requirements" maybe not boilerplate but could be considered part of job description; it's substantive. We'll keep it. We need to output only HTML fragment. Let's extract content. First, "Your Role" paragraph: "The Actuarial Analyst serves as a lead actuarial subject matter expert responsible for shaping enterprise payment and value-based care strategies, developing new program concepts, evaluating financial impact, and translating innovative ideas into scalable solutions that improve affordability, quality, provider performance, and member outcomes. You will partner cross-functionally with business, clinical, operational, technology, finance, and provider stakeholders to guide complex workstreams from concept through implementation, influence recommendations, navigate ambiguity, and provide direction and review for junior team members. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning." That's the About the role. Next, "Responsibilities" heading: "Your Work In this role, you will:" then a list of bullet points (actually sentences separated by line breaks). We need to convert each bullet into

  • . The bullet points are: - 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 evaluate 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 analytical programming languages including Python, SQL, and SAS, and deploy predictive analytics and machine learning techniques to improve forecasting, financial modeling, risk prediction, and operational efficiencies - Direct, coordinate, and/or develop evaluation and financial reporting standards for internal and external reports - Lead the development of new programs, provider payment strategies, and analytical frameworks that advance affordability, quality, provider performance, and member outcomes. - Evaluate and shape strategic initiatives through financial modeling, ROI analyses, savings assessments, forecasting methodologies, vendor evaluations, and program design recommendations that support investment and implementation decisions. - Lead cross-functional collaboration across business, clinical, operational, technology, finance, and provider stakeholders to translate strategic concepts into actionable plans, build alignment, navigate ambiguity, resolve issues, and move initiatives from ideation through execution - Develop innovative, visually compelling, and professionally designed analytical tools, dashboards, forecasting models, and executive reporting packages that transform complex data into actionable insights and support decision-making Also there is a line "Future Opportunities Great talent is always in demand at Blue Shield of California. While there is not a current opening associated with this posting, we are proactively building a network of qualified candidates for future opportunities. We encourage you to apply and stay connected for upcoming roles that align with your skills and interests." This could be a paragraph after responsibilities, maybe under a heading? Not standard. We'll just put as a

    after responsibilities. Next, "Qualifications" heading: then sub-sections: "Your Knowledge and Experience Actuarial Analyst, Consultant" then bullet list of requirements. Then later "Actuarial Analyst, Principal" with its own bullet list. We need to combine? The instruction: preserve ALL substantive information. We could keep both as separate subsections under Qualifications, maybe using

    ? But we only allowed

    for section headings. Could use

    with bold? But we need to keep structure. Could use

    • for each qualification item, and we can separate groups with a

      heading like "Actuarial Analyst, Consultant" as a

      (or ). That's acceptable. Let's extract the Consultant qualifications: "Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience Masters in applied mathematics, actuarial science, statistics, or finance preferred Requires at least 6 years of professional actuarial experience ASA (Associate of the Society of Actuaries) and/or FSA (Fellow of the Society of Actuaries) highly preferred Required experience in healthcare actuarial analytics, provider reimbursement, value-based care, pricing, forecasting, reserving, risk adjustment, provider contracting, or related financial modeling Required advanced proficiency in Excel and analytical programming languages such as SQL, Python, and SAS, with demonstrated experience developing financial models, forecasting methodologies, pricing and savings analyses, analytical frameworks, automation solutions, and decision-support tools Required ability to independently develop multiple potential solutions to complex and ambiguous business problems, formulate recommendations with supporting rationale, influence decisions without direct authority, and manage large cross-functional projects or processes Required ability to communicate complex actuarial findings and strategic recommendations to technical and non-technical audiences, including leadership and cross-functional stakeholders Desired experience guiding, mentoring, delegating work to, and reviewing work products for junior actuarial analysts or other quantitative professionals Desired experience with Tableau, Power BI, data visualization technologies, dashboard development, reporting automation, executive reporting solutions, and visually compelling decision-support tools" Now Principal qualifications: "Actuarial Analyst, Principal Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experience Requires at least 10 years of professional actuarial experience including experience in health plan operations and regulatory requirements ASA (Associate of the Society of Actuaries) required Required experience in healthcare actuarial analytics, provider reimbursement, value-based care, pricing, forecasting, reserving, risk adjustment, provider contracting, or related financial modeling Required advanced proficiency in Excel and analytical programming languages such as SQL, Python, and SAS, with demonstrated experience developing financial models, forecasting methodologies, pricing and savings analyses, analytical frameworks, automation solutions, and decision-support tools Required ability to independently develop multiple potential solutions to complex and ambiguous business problems, formulate recommendations with supporting rationale, influence decisions without direct authority, and manage large cross-functional projects or processes Required ability to communicate complex actuarial findings and strategic recommendations to technical and non-technical audiences, including leadership and cross-functional stakeholders Desired experience guiding, mentoring, delegating work to, and reviewing work products for junior actuarial analysts or other quantitative professionals Desired experience with Tableau, Power BI, data visualization technologies, dashboard development, reporting automation, executive reporting solutions, and visually compelling decision-support tools" Note: The Principal qualifications also include pay ranges later. Now Pay: we have two pay ranges: for Consultant: Pay Range for CA: $123,090.00 to $184,800.00; Pay Range for Bay Area: $138,756.00 to $208,320.00. Then note about pay range. For Principal: Pay Range for CA: $148,940.00 to $223,300.00; Pay Range for Bay Area: $167,896.00 to $251,720.00. Then similar note. We need to include Pay section only if posting actually states them. Yes. We should include both ranges. Could present as a

        with items. Schedule: Hybrid info: "Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week." Also later in About Us: "Our Workplace Model ... For most teams, this means coming into the office two days per week." Also details about accommodations. We'll include Schedule section with that info. About Us: we could include as a

        after Qualifications maybe under a heading "About

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