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Staff Actuary - Medicare

Staff Actuary - Medicare

EmblemHealthNew York, NY, United States
2 days ago
Job type
  • Full-time
Job description

REMOTE

Summary :

  • Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies.
  • Lead projects to analyze current rate structures and develop improvements and alternatives.
  • Coordinate the actuarial staff as needed to support the activities of the affiliates.

Responsibilities :

  • Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses.
  • Identify opportunities to improve product performance in collaboration with all areas of the organization.
  • Oversee the development and filing of premium rates for all products with the appropriate regulatory authority (e.g., CMS, New York Dep't of Health).
  • Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs to increase Emblem's premium revenue for these segments.
  • Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff
  • Regular attendance is an essential function of the job. Perform other duties as assigned 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 (ASA) required
  • 5 - 8+ years relevant professional work experience and / or education required
  • 4+ years health insurance actuarial experience, preferably in the managed care industry required
  • Prior management experience (processes and / or staff) preferred
  • A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required
  • Ability to communicate effectively with Business leaders required
  • Expert level skills with database, spreadsheet, and analytical software required
  • Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required
  • Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred
  • Capable with data extraction, simulations, automation required

    • Additional Information

    Requisition ID : 1000002838

    Hiring Range : $77,760-$149,040

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    Actuary • New York, NY, United States