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Actuarial Analyst

$65k - $99.36k

EmblemHealth




Summary of Position

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

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

  • Complete pricing analysis, experience analysis and studies, financial projections, and other actuarial/financial calculations.

  • Run, modify, and create data queries to produce analysis and reports.


Principal Accountabilities

  • Perform actuarial tasks which are of a mathematical and quantitative nature.

  • Support analysis of hospital, professional, and drug claim/utilization trends, membership/demographics, and various other ad-hoc analyses.

  • Maintain appropriate controls around models and other work products.

  • Ensure quality and on time completion of deliverables.

  • Assist with rate filings or valuation calculations.

  • Support preparation of forecasts and monitoring of results or trends.

  • Support development of efficient and transparent queries to obtain data that is appropriate to the purpose

  • Ensure 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 the actuarial department.

  • 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)


Relevant Work Experience, Knowledge, Skills, and Abilities

  • 3 - 5+ years relevant, professional work experience and/or education. (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.

  • Actuarial/analytical experience, preferably in a healthcare environment. (Preferred)

  • Strong mathematical and analytical skills. (Required)

  • Strong communication skills (verbal, written, presentation). (Required)

  • Strong working knowledge of MS Office (Outlook, Word, Excel, PowerPoint, etc.) (Required)

  • Working knowledge of SQL, R, Python or similar (Required)

  • Capable with Excel, data extraction, simulations, automation. (Required)
Additional Information
  • Requisition ID: 1000003385
  • Hiring Range: $65,000-$99,360
Vacancy posted 4 days ago
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