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Church Pension Group Services Corporation
New York, NY | Full Time
$131k-167k (estimate)
4 Weeks Ago
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Consolidated Edison Company of New York, Inc.
New York, NY | Full Time
$96k-120k (estimate)
4 Weeks Ago
EmblemHealth is Hiring a Sr. Actuarial Analyst Near New York, NY
Summary:
Requirements:
- 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.
Requirements:
- Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required
- Associate of the Society of Actuaries preferred
- 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
- 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
Job Summary
JOB TYPE
Full Time
SALARY
$116k-145k (estimate)
POST DATE
04/22/2024
EXPIRATION DATE
05/11/2024
WEBSITE
emblemhealth.com
HEADQUARTERS
ALBANY, NY
SIZE
3,000 - 7,500
FOUNDED
1941
TYPE
Public
CEO
JON BENN
REVENUE
$5B - $10B
INDUSTRY
Ambulatory Healthcare Services
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About EmblemHealth
S&P Global is a financial intelligence company that provides SaaS-based credit ratings, benchmarks and analytics solutions for businesses.
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