Bachelor’s degree in actuarial science, mathematics, or related finance/business degree., Associate of the Society of Actuaries (A.S.A.) and Member of the American Academy of Actuaries (M.A.A.A.) required., 10+ years of relevant professional work experience, including 5+ years in health insurance actuarial roles., Strong mathematical, analytical skills, and proficiency in MS Office required..
Key responsabilities:
Analyze financial performance of business blocks in collaboration with Senior Product Management and Finance.
Oversee the development and filing of premium rates with regulatory authorities.
Advise and develop direct reports responsible for various lines of business.
Coordinate actuarial staff to support affiliate activities and identify product performance improvement opportunities.
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EmblemHealth is one of America’s largest not-for-profit health insurers, serving more than three million people in the New York tristate area. With an 85-year legacy of serving New York communities, EmblemHealth offers a full range of commercial and government-sponsored health plans to employers, individuals, and families. We started back in the 1930s, at the height of the Great Depression. Out of hard times, the idea of health insurance was born — a system that would protect everyday people from financial misfortune if they had an accident or illness. Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth. And after 85 years, our purpose as a not-for-profit is still the same — to provide quality, affordable health insurance for New Yorkers and their families. The EmblemHealth family of companies provides insurance plans, primary and specialty care, and wellness solutions. The family of companies covers the whole health journey, starting with affordable coverage through EmblemHealth, and ConnectiCare, a leading health plan in Connecticut. The family of companies also includes the AdvantageCare Physicians medical practice, and WellSpark Health, a barrier-breaking digital wellness company. As a family of companies with deep community roots, EmblemHealth Neighborhood Care and ConnectiCare Centers offer free wellness and community resources. Together, the family of companies creates healthier futures for customers and communities. We think of ourselves as an 85-year-old start-up — big enough to offer the stability and benefits of a major corporation, with a ferocious commitment to innovation, collaboration, and flexibility. We believe in what we’re doing. And we’re looking for passionate people to join us.
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.
Lead 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.
Work collaboratively with all areas of the organization to identify opportunities to improve product performance.
Oversee the development and filing of premium rates and/or expected costs with the appropriate regulatory authority (e.g., CMS, New York Department of Health).
Work closely with Risk Adjustment and other areas.
Advise and develop direct reports accountable for at least one line of business (e.g. ACA, Large Group, Medicare, Medicaid, SSP), as well as other staff.
Perform other duties as assigned or required.
Requirements
A bachelor’s degree in actuarial science, mathematics, other physical science, or related finance/business degree
Associate of the Society of Actuaries (A.S.A.) required
Member of the American Academy of Actuaries (M.A.A.A.) required
Fellow of the Society of Actuaries (F.S.A.) preferred
10+ years of relevant, professional work experience and/or education required
6+ years of actuarial experience with ASA; or 5+ years’ experience with an FSA required
5+ years health insurance actuarial experience, preferably in the managed care industry required
1+ year of management experience required
Comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required
Knowledge of reimbursement methodologies required
Ability to develop actionable reports for senior management required
Excellent written and oral communication skills to deliver complex information required
Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook); data extraction, simulations, automation required
Additional Information
Requisition ID: 1000002393
Hiring Range: $86,000-$165,000
Required profile
Experience
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.