EmblemHealth

Actuarial Analyst

EmblemHealth • $70K — $95K *
New York, NY 10025In-Person
Finance & Insurance
Less than 5 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree in Actuarial Science, Mathematics, physical science, or related finance/business degree
  • 3 - 5+ years relevant professional experience or education
  • Progress toward obtaining actuarial credentials, including sitting for exams annually
  • Preferred actuarial/analytical experience in a healthcare environment
  • Strong mathematical and analytical skills
  • Excellent communication skills, both verbal and written
  • Proficient in MS Office and knowledgeable in SQL, R, Python or similar languages

Responsibilities

  • Identify opportunities to reduce medical expenses and implement performance monitoring
  • Develop analyses and presentation materials for decision makers
  • Complete various actuarial calculations including pricing and financial projections
  • Analyze claims/utilization trends and demographics
  • Maintain controls around models and deliverables
  • Ensure quality and timely delivery of work
  • Support the development of efficient data queries for analysis

Benefits

  • Remote work flexibility
  • Opportunities for professional development and exam progress support
  • Collaboration with a diverse team in a healthcare setting
  • Access to relevant industry tools and technologies
  • Potential for advancing to higher-level actuarial roles based on performance
Full Job Description
REMOTE

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

About EmblemHealth

EmblemHealth is a non-profit health insurance company based in New York City. It is one of the largest non-profit health insurers in the United States, serving over 3 million people. EmblemHealth offers a range of health insurance plans, including HMO, PPO, and EPO plans, as well as Medicare and Medicaid plans. The company also offers wellness programs and disease management services. EmblemHealth was formed in 2006 through the merger of Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP). The company has offices in New York City and Albany, New York.
Learn more about EmblemHealth
Size
3,000 employees
Industry
Healthcare
Net Income
-$100 million
Founded
2006
5 Year Trend
-5%
Revenue
$10 billion
NASDAQ
* Ladders Estimates

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