Actuarial Analyst II

Premera Blue Cross Premera Blue Cross · Insurance · Mountlake Terrace, WA

Actuarial Analyst II at Premera Blue Cross, responsible for supporting vendor invoice reconciliations, financial reporting, ROI simulations, data extraction, analytical model maintenance, provider impact studies, statistical analyses, and report production. Requires a Bachelor's Degree or 4 years of experience, 2 years of actuarial analysis experience, intermediate SQL, and knowledge of Python or another computer language. Preferred qualifications include health insurance knowledge and experience in automation.

What you'd actually do

  1. Independently provide data and perform actuarial calculations related to product development, benefits, provider reimbursement, stop loss, health management, disease management, pharmacy programs, premium rates, reserves, and administrative costs.
  2. Monitor data from internal departments, review it for content and accuracy, and identify associated problems.
  3. Produce various analytical reports that monitor utilization and cost trends, revenue, claims liability, membership, administrative costs, and provider reimbursement and performance as requested by both internal and external customers.
  4. Develop and maintain computer programs to support various analyses, processes, and reports. Consider reproducibility and potential improvements.
  5. Consult with internal and external customers to assess scope and complexity of projects. Complete projects accurately and efficiently, within preset timelines, and regularly report status to supervisor and outcomes to customer.

Skills

Required

  • Bachelor's Degree in Mathematics, Actuarial Science, Statistics, Computer Science, or related field, or (4) years of work experience.
  • (2) years of actuarial analysis experience.
  • Intermediate knowledge of SQL or other data querying tools.
  • Knowledge of Python or another computer language.

Nice to have

  • Knowledge of health insurance concepts and terms.
  • Experience in health insurance and/or an actuarial department.
  • Proficient in Tableau and visual storytelling.
  • Experienced in automation of codes and procedures.
  • Participant in an actuarial student program.