• Job Description

  Req#: 6756
  
  
  
  
  
  
  
  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.
  • 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: 1000002392
  • Hiring Range: $52,000-$92,000
  
  
  
  
  
  
  
  
  

• About the company

  EmblemHealth provides all our members the latest plan & health information, including GHI Insurance information. We are dedicated to helping you stay healthy, get well, and live better.

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