About EmblemHealth
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
New York, NY, US
Year founded
1937
Job description
REMOTE
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.
Qualifications:
Education, Training, Licenses, Certifications
- Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required
- Associate of the Society of Actuaries required
Relevant Work Experience, Knowledge, Skills, and Abilities
- 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
- 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
- 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
- Capable with Excel, data extraction, simulations, automation.
- Knowledge of reimbursement methodologies.
Additional Information
- Requisition ID: 1000003160
- Hiring Range: $68,040-$118,800
emblemhealth.com
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Frequently asked questions
Q: What skills or qualities help someone succeed as a Senior Actuarial Analyst?
A: To succeed as a Senior Actuarial Analyst, key technical skills include proficiency in actuarial modeling, data analysis, and statistical software such as R, Python, or SAS, as well as a strong understanding of insurance and financial concepts. Soft skills that contribute to success in this role include excellent communication and presentation skills, strategic thinking, and the ability to collaborate effectively with cross-functional teams. These strengths support career growth and effectiveness by enabling Senior Actuarial Analysts to provide informed insights, drive business decisions, and lead projects that drive organizational success.
Q: What is the career path for a Senior Actuarial Analyst?
A: A Senior Actuarial Analyst typically follows a career progression from an Actuarial Analyst (entry-level) to a Senior Actuarial Analyst (mid-level), and then to a Lead Actuary or Actuarial Manager (senior role). Along the way, they develop skills in data analysis, modeling, and communication, as well as expertise in actuarial science, risk management, and business acumen, through certifications like the Fellow of the Society of Actuaries (FSA) and ongoing professional development. Long-term, Senior Actuarial Analysts may pursue leadership roles, such as Chief Actuary or Chief Risk Officer, or transition into related fields like investment, consulting, or academia.
