Company Statement
EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com.
Actuarial Analyst
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.
Education, Training, Licenses, Certifications
• Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree.
Relevant Work Experience, Knowledge, Skills, and Abilities
• 3 - 5+ years relevant, professional work experience and/or education. (R)
• 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. (P)
• Strong mathematical and analytical skills. (R)
• Strong communication skills (verbal, written, presentation). (R)
• Strong working knowledge of MS Office (Outlook, Word, Excel, PowerPoint, etc.) (R)
• Working knowledge of SQL, R, Python or similar (R)
• Capable with Excel, data extraction, simulations, automation. (R)
Security Disclosure
If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.
Pay Disclosure
At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.
EEOC Statement
We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.
Sponsorship Statement
EmblemHealth may provide work visa sponsorship depending on factors such as business unit requirements, position nature, costs, and applicable laws and regulations.