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.
Sr. Actuarial Analyst
Summary:
- 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.
Responsibilities: - 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.
- 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
- Associate of the Society of Actuaries preferred
- 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
- 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
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.