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    Actuarial Analyst - New York, United States - EmblemHealth

    EmblemHealth
    EmblemHealth New York, United States

    2 weeks ago

    Default job background
    Full time
    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
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