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Sr. Staff Actuary (Medicare)

Remote: 
Full Remote
Contract: 
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Offer summary

Qualifications:

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.

EmblemHealth logo
EmblemHealth Insurance Large http://www.emblemhealth.com
1001 - 5000 Employees
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Job description

Remote Position

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.
  • 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.

Other Skills

  • Analytical Skills
  • Management
  • Microsoft Office
  • Collaboration
  • Communication

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