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Actuarial Analyst II

$84.2k - $143.1k

Premera Blue Cross

Workforce Classification:

Hybrid

Join Our Team: Do Meaningful Work and Improve People's Lives

Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. (

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: .

As an Actuarial Analyst II , you will support vendor invoice reconciliations and/or creation, financial reporting, communication with stakeholders, and assisting with running ROI simulation when contracting a vendor. Activities will also include data extraction, analytical model maintenance, provider impact studies and other statistical analyses, as well as production of various reports and technical support to assist in the achievement of company financial and membership goals.

This is a hybrid role, located on our campus in Mountlake Terrace, Washington.

What you'll do:

  • 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.

  • Monitor data from internal departments, review it for content and accuracy, and identify associated problems.

  • 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.

  • Develop and maintain computer programs to support various analyses, processes, and reports. Consider reproducibility and potential improvements.

  • 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.

  • Prepare written documentation on all projects to provide a peer review trail and ensure continuity and integrity of position responsibilities. This includes organizing the project work plan, notes, output, proof of review, and other documentation.

  • Present findings as needed to multiple levels of internal and client leadership.

  • May assist in the training of entry level analysts.

What you'll bring:

Required Qualifications

  • 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.

Preferred Qualifications

  • 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.

Knowledge, Skills, and Abilities

  • Strong project management to include time management and multi-tasking.

  • Proficiency in a computer programming language and aptitude to learn from others. Proficient with standard Microsoft Office products.

  • Strong analytic, problem solving, and troubleshooting skills.

  • Effective oral and written communication skills - can explain trends in data to non-technical stakeholders.

  • Strong attention to detail and organizational skills. Must be able to conduct self and peer-reviews to ensure accuracy of work products.

  • Ability to take direction well.

  • Comfortable in a fast-paced working environment.

Physical Requirements

The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation:

  • This is primarily a sedentary role which requires the ability to exert up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body.

  • This role requires the ability to keyboard and to communicate clearly and understandably in person and over the telephone.

Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

  • Medical, vision, and dental coverage with low employee premiums.

  • Voluntary benefit offerings, including pet insurance for paw parents.

  • Life and disability insurance.

  • Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

  • Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

  • Generous paid time off to reenergize.

  • Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

  • Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

  • Commuter perks make your trip to work less impactful on the environment and your wallet.

  • Free convenient on-site parking.

  • Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.

  • Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.

  • Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.

  • Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at View email address on click.appcast.io or via phone at View phone number on click.appcast.io.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

National Plus Salary Range:

$84,200.00 - $143,100.00

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska .

We're happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We're committed to creating an environment where all employees are celebrated for their unique skills and contributions.

At Premera, we make healthcare work better. By focusing on improving our customers' experience purposefully and serving their needs passionately, we make the process easier, less costly, and more positive. Through empathy and advocacy, we change lives.

As the leading health plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than 2 million customers, from individuals to Fortune 100 companies. Our services include innovative programs focused on health management, wellness, prevention, and patient safety. We deliver these programs through health, life, vision, dental, disability, and other related products and services.

Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since 1933 and in Alaska since 1952. With more than 80 years of experience in the region, we deliver innovation, choice, and expertise.

Vacancy posted 4 days ago
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