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 Intern

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Patient Services
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190ID Requisition #
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Provides actuarial services in support of Large Group HMO (LG HMO) and State Sponsored (SSP) business.

Responsibilities:
  • Assists in the preparation and submission of the HIP LG HMO prior approval rate filing to the Department of Financial Services.
  • Supports the system loading of HIP LG HMO premium rates, enabling both existing groups to renew and new groups to be quoted.
  • Aids in the development and analysis of various recurring management reports, examining the current claims trends, membership demographics, and financial variances for LG HMO and SSP.
  • Provides support for quarterly MMCOR statutory reporting.
  • Tracks performance of Medicaid risk scores and quality incentive bonus program.
  • Regular attendance is an essential function of the job.
  • Performs other duties as assigned or required.
Qualifications:
  • Matriculated in a Bachelor’s degree program in Mathematics or Actuarial Science; Advanced degrees a plus
  • Proficient in Excel
  • Minimum of 1 Society of Actuary Exams

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, 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.

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