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Actuarial Analyst, Consultant

Blue Shield of California

Oakland, CA · Posted October 12, 2026

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About the job

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 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 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.