Actuarial Analyst - New York, United States - EmblemHealth

EmblemHealth New York, United States

3 weeks ago

Description

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 required; 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

Additional Information

Requisition ID:
Hiring Range: $52,000-$92,000

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