Blue Cross and Blue Shield Association logo

Actuarial Analyst, Consultant

Blue Cross and Blue Shield Association
  • Oakland, CA
  • Autofill and Review
6 days ago

Job Description

Your Role

The Pharmacy Finance Analytics team provides analytics and actuarial support for pharmacy pricing, trend, forecasting, rebate analysis, formulary strategy, and financial performance. The Actuarial Analyst, Consultant will report to the Senior Manager, Actuary. In this role you will perform complex analyses to evaluate pharmacy cost drivers, utilization trends, rebate performance, and emerging market dynamics. You will develop forecasting models and support pricing, financial planning, and strategic initiatives that promote affordability and member access. You will partner primarily with Finance, Actuarial, and Pharmacy stakeholders to deliver data-driven recommendations that influence business decisions and improve financial outcomes.

Your Knowledge and Experience

  • Requires a Bachelor's degree in mathematics, statistics, actuarial science, computer science, or a related field
  • Requires 7 years of prior relevant experience as an actuary with deep expertise in a primary domain
  • Requires demonstrated specialist-level knowledge and independently owned complex analyses and deliverables
  • Requires applied statistical and modeling techniques to improve forecasts, assumptions, and business decisions
  • Requires evaluation of machine learning model results and feature importance to improve performance over time
  • Attained ASA, Associate of the Society of Actuaries preferred
  • Experience analyzing pharmacy trends, drug utilization, rebates, formulary strategies, or pharmacy financial performance is preferred.

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.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

Your Work

In this role, you will:

  • Analyze pharmacy and healthcare data to identify trends, evaluate financial performance, and support strategic decision-making.
  • Develop and maintain actuarial, forecasting, and financial models that support pricing, budgeting, and business planning.
  • Partner with cross-functional stakeholders to assess business opportunities, risks, and the financial impact of key initiatives.
  • Translate complex analyses into clear, actionable insights for leadership and operational teams.
  • Support ongoing monitoring of financial results, emerging market trends, and drivers of healthcare cost and utilization.
  • Contribute to the development of innovative analytic solutions that improve affordability, member outcomes, and business performance.
  • Lead and support ad hoc analyses, regulatory submissions, and strategic projects across the organization.

Your Work

In this role, you will:

  • Analyze pharmacy and healthcare data to identify trends, evaluate financial performance, and support strategic decision-making.
  • Develop and maintain actuarial, forecasting, and financial models that support pricing, budgeting, and business planning.
  • Partner with cross-functional stakeholders to assess business opportunities, risks, and the financial impact of key initiatives.
  • Translate complex analyses into clear, actionable insights for leadership and operational teams.
  • Support ongoing monitoring of financial results, emerging market trends, and drivers of healthcare cost and utilization.
  • Contribute to the development of innovative analytic solutions that improve affordability, member outcomes, and business performance.
  • Lead and support ad hoc analyses, regulatory submissions, and strategic projects across the organization.

Numbers & Facts

LocationOakland, CA
IndustryInsurance
Company Size2,000 to 2,499 employees
Websitehttps://www.bcbs.com/about-us/careers

About Company

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Skills

  • Actuarial Skillsunmatched
  • Analysis Skillsunmatched
  • Budgetingunmatched
  • Business Analysisunmatched
  • Business Planunmatched
  • Business Strategyunmatched
  • Cisco ASA (Adaptive Security Appliance)unmatched
  • Computer Scienceunmatched
  • Consultingunmatched
  • Cost Analysisunmatched
  • Cross-Functionalunmatched
  • Decision Supportunmatched
  • Financeunmatched
  • Financial Analysisunmatched
  • Financial Modelingunmatched
  • Financial Planningunmatched
  • Financial Strategyunmatched
  • Financial Trend Analysisunmatched
  • Forecastingunmatched
  • Formularyunmatched
  • Healthcareunmatched
  • Leadershipunmatched
  • Machine Learningunmatched
  • Market Trend Analysisunmatched
  • Mathematicsunmatched
  • Performance Managementunmatched
  • Pharmacyunmatched
  • Pricingunmatched
  • Process Improvementunmatched
  • Product Pricingunmatched
  • Regulatory Submissionsunmatched
  • Statisticsunmatched
  • Strategic Planningunmatched
  • Trend Analysisunmatched

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