EmblemHealth

Senior Actuarial Analyst

EmblemHealth • $90K — $120K *
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, or related field required
  • 2 or more Actuarial exams completed required
  • 4-6+ years of professional work experience required
  • 1-2+ years health insurance actuarial experience required
  • Progress towards obtaining actuarial credentials essential

Responsibilities

  • Identify and implement opportunities to reduce medical expenses
  • Participate in product development, pricing, and implementation
  • Analyze claim trends and perform ad-hoc analyses
  • Ensure quality and timely completion of deliverables
  • Collaborate with stakeholders to develop valuation methodologies
  • Prepare analyses and forecasts based on data
  • Proactively ensure consistency of work across teams

Benefits

  • Opportunity for career advancement with ongoing professional development
  • Collaboration with various teams to enhance engagement
  • Supportive environment for obtaining actuarial credentials
  • Exposure to diverse actuarial functions and methodologies
  • Participation in innovative product development and strategy implementations
Full Job 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

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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