Premera Blue Cross
Actuarial Analyst II
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Job Description
- Req#: R27956
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.
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.
Knowledge of health insurance concepts and terms.
Experience in health insurance and/or an actuarial department.
Knowledge of SQL and other data querying tools.
Proficient in Tableau and visual storytelling.
Experienced in automation of codes and procedures.
Participant in actuarial student program.
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, such as Word, Excel, PowerPoint, Access, etc.
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.
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.
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.
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.
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.
To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time.
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ .
As an Actuarial Analyst II, you will support actuarial analyses including but not limited to, insurance pricing, provider contracting, financial reporting, and reserving. Activities include data extraction, analytical model maintenance, preparation of rate and provider reimbursement 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:
What you’ll bring:
Required Qualifications
Preferred Qualifications
Knowledge, Skills, and Abilities
Physical Requirements
The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation:
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:
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.
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 careers@premera.com or via phone at 425-918-4785.
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:
$81,900.00 - $139,200.00*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.
About the company
Customer Service: 5 a.m. to 8 p.m. Pacific Call us at: 800-508-4722 in AK; 800-722-1471 in WA and other states Please don't post medical or other personal information or claims info/appeals here. Premera Facebook Fan Page Terms of Use This pa...
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