Actuarial Analyst, Principal

Your Role

The Actuarial Pay for Value team serves as a strategic partner to Blue Shield leadership in developing innovative payment models, value-based care strategies, and provider incentives that advance affordability, quality, provider performance, and member outcomes across the enterprise. The Actuarial Analyst, Principal will report to the Senior Manager, Actuarial Pay for Value and directly manage a team of two actuarial professionals. In this highly visible leadership role, you will work directly with senior and executive leaders across Blue Shield to shape and execute key enterprise strategies, design creative solutions to complex healthcare challenges, evaluate emerging market opportunities, and drive transformational initiatives from concept through implementation.

Combining actuarial expertise, strategic thinking, innovation, and people leadership, you will help define the future direction of Blue Shield's Pay for Value programs and provider partnerships while delivering measurable impact on the organization's long-term affordability, quality, and value-based care objectives. This role will have significant visibility with senior leadership and influence some of Blue Shield's most critical affordability, provider transformation, and value-based care initiatives.

Your Knowledge and Experience

• Requires a college degree in mathematics, statistics, actuarial science, economics, computer science or equivalent business experience

• Requires an ASA and must be working towards FSA if not complete

• Requires at least 8 years of professional actuarial experience

• Required experience leading complex actuarial and strategic initiatives with significant organizational impact, influencing decisions without direct authority, driving alignment across cross-functional stakeholders, and managing multiple priorities in a dynamic environment

• Required expert-level proficiency in Excel and analytical programming languages such as SQL, Python, and SAS, with demonstrated experience developing sophisticated financial models, forecasting methodologies, pricing and savings analyses, analytical frameworks, automation solutions, and scalable decision-support tools

• Required experience managing, mentoring, and developing actuarial analysts or other quantitative professionals, including performance management, coaching, technical development, and career growth

• Required ability to communicate complex actuarial findings and strategic recommendations to technical and non-technical audiences, including senior and executive leadership

• Desired experience with Tableau, Power BI, data visualization technologies, dashboard development, reporting automation, executive reporting solutions, and visually compelling decision-support tools

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.