Senior Actuarial Analyst

EmblemHealth Inc

  • New York, NY
  • 9 days ago
  • $68,040–$118,800 Per Year
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Skills

  • Accounting Closeunmatched
  • Actuarial Skillsunmatched
  • Analysis Skillsunmatched
  • Automationunmatched
  • Budgetingunmatched
  • Communication Skillsunmatched
  • Financeunmatched
  • Financial Trend Analysisunmatched
  • Forecastingunmatched
  • Health Insuranceunmatched
  • Hospitalunmatched
  • Managed Careunmatched
  • Materials Analysisunmatched
  • Mathematicsunmatched
  • Medical Recordsunmatched
  • Microsoft Excelunmatched
  • Microsoft Officeunmatched
  • Microsoft Outlookunmatched
  • Microsoft PowerPointunmatched
  • Microsoft Wordunmatched
  • Performance Analysisunmatched
  • Physical Scienceunmatched
  • Presentation/Verbal Skillsunmatched
  • Product Developmentunmatched
  • Product Pricingunmatched
  • Product Strategyunmatched
  • Project Evaluationunmatched
  • Python Programming/Scripting Languageunmatched
  • R Programming Languageunmatched
  • Riskunmatched
  • SQL (Structured Query Language)unmatched
  • Technical Supportunmatched
  • Time Managementunmatched
  • Writing Skillsunmatched

Description

Summary of Position

  • Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance.

  • Participate in product development, pricing, filing, and rating implementation of new products and strategies.

  • Develop studies, analyses, and presentation materials needed to appropriately inform decision makers.

  • Answer questions of less experienced staff.

Principal Accountabilities

  • Analyze and understand hospital, professional, and drug claim/utilization trends, membership/demographics, andfinancial variance to budget, and performs various other ad‐hoc analyses.

  • Maintain appropriate controls around models and other work products.

  • Ensure quality and on time completion of deliverables.

  • Provide support for coordination of quarterly close activities.

  • Partner with key stakeholders to develop and finalize valuation methodologies.

  • Prepare and analyze results and forecasts.

  • Perform monitoring processes for trends and risk valuation calculations.

  • Develop efficient and transparent queries to obtain data that is appropriate to the purpose with minimal assistance and oversight.

  • Make appropriate recommendations to management across teams within the actuarial department.

  • Proactively ensure the internal and external consistency of all work.

  • Perform reasonability checks dependent on industry knowledge and experience.

  • Develop and implement analyses for special projects.

  • Provide technical and analytical support for both the Actuarial department and internal partners.

  • Proactively take on additional work as needed by the team.

  • Perform duties and assignments as directed or required.

Qualifications

Education, Training, Licenses, Certifications

  • Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required

  • 2 or more Actuarial exams completed and passed required

Relevant Work Experience, Knowledge, Skills, and Abilities

  • 4 - 6+ years of relevant, professional work experience and/or education required

  • 1 - 2+ years health insurance actuarial experience, preferably in the managed care industry required

  • Must make sufficient progress toward obtaining actuarial credentials, defined as sitting for a minimum of one exam per year, scoring above a zero, and obtaining at least a combined score of 5 over two consecutive sittings

  • When unable to meet the progress outlined in the bullet above, the role will be transitioned to a non‐Actuarial job title and job description

  • Comprehensive understanding of actuarial principles and methodologies and strong mathematical and analytical skills required

  • Excellent communication skills (verbal, written, presentation) required

  • Strong working knowledge of MS Office including Outlook, Word, Excel, PowerPoint, etc. required

  • Working knowledge of SQL, R, Python or similar required

  • Capable with Excel, data extraction, simulations, automation required

  • Knowledge of reimbursement methodologies required

Additional Information

  • Requisition ID: 1000003296
  • Hiring Range: $68,040-$118,800

Numbers & Facts

LocationNew York, NY
Salary$68,040–$118,800 Per Year

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