EmblemHealth

Actuarial Analyst

EmblemHealth • $80K — $95K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Actuarial Science, Mathematics, or related finance/business degree
  • 3-5+ years of relevant professional experience
  • Progress toward obtaining actuarial credentials, including sitting for exams
  • Actuarial/analytical experience in a healthcare environment (preferred)
  • Strong mathematical and analytical skills
  • Excellent communication skills (verbal, written, presentation)
  • Proficient in MS Office and working knowledge of SQL, R, or Python

Responsibilities

  • Identify opportunities to reduce medical expenses and collaborate with teams
  • Develop studies and presentation materials for decision makers
  • Complete pricing and experience analyses, financial projections, and actuarial calculations
  • Run and modify data queries for analysis and reporting
  • Perform actuarial tasks of a mathematical and quantitative nature
  • Support analysis of claims/utilization trends and demographics
  • Maintain controls around models and ensure quality of deliverables
  • Assist with rate filings and valuation calculations
  • Support preparation of forecasts and monitoring of trends
  • Develop efficient queries for data extraction
  • Conduct reasonability checks based on industry knowledge
  • Provide technical support for the actuarial department

Benefits

  • Collaborative work environment
  • Opportunities for professional development and credentialing
  • Engagement in impactful healthcare cost reduction initiatives
  • Access to advanced analytical tools and technologies
  • Supportive team culture that encourages proactive contributions
Full Job Description
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
Net Income
-$100 million
Founded
2006
5 Year Trend
-5%
Revenue
$10 billion
NASDAQ

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