Senior Actuarial Analyst
EmblemHealth · New York, NY · 1 mo ago
Finance$68k–$119k/yrFull-time
Principal Accountabilities
- Analyze and understand hospital, professional, and drug claim/utilization trends, membership/demographics, and financial 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.
Qualifications
- 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.
- 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: $68,440-$118,800