Company Statement
For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.
Actuarial Analyst (Remote)
Summary:
- 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.
Responsibilities:
- 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.
Requirements:
- Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required
- 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
Security Disclosure
If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.
We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail.
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.
EEOC Statement
We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.
Sponsorship Statement
Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.