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Actuarial Analyst, Experienced

Blue Shield of California

Long Beach, CA · Posted October 5, 2026

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Blue Shield of California has filed 8 layoff notices in the last twelve months, covering 60 workers, most recently August 2026. These are public filings with state labor departments, and an open role can sit alongside them. See the filings

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About the job

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) models, including Accountable Care Organization (ACO), Primary Care, Virtual Care, and other innovative programs. The Actuarial Analyst, Experienced will report to the Actuarial Director 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:

Execute pricing, reserving, forecasting, and risk score analyses with limited supervision

Own data pulls, quality checks, and documentation across claims, premium, membership, and risk score sources

Maintain and enhance standard reporting to surface drivers, trends, and emerging risks

Translate results into clear summaries for more senior actuaries and business partners

Improve workflows and controls through template, code, and process updates

Support VBC 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 VBC 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

Your Knowledge and Experience

Requires a bachelor’s degree in mathematics, statistics, actuarial science, computer science, or a related field

Requires 2 years of prior relevant experience building repeatable analyses and documentation using claims, premium, and membership data

Requires demonstrated understanding of basic regulatory concepts and filing support requirements under guidance

Requires advanced experience and skillset in Microsoft Excel and SQL

Requires curiosity and willingness to adopt new technologies, including AI-enabled tools, to assist with analytical work, while exercising sound professional judgment

Requires strong communication and presentation skills

Experience with data visualization tools such as Power BI or Tableau preferred

Prior healthcare industry experience preferred

Completed 3 actuarial exam courses toward ASA, Fellow of the Society of Actuaries or equivalent progress 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.