Actuarial Analyst

EmblemHealth; New York (NY); On-site; USD 65,000 - 99,000; Full time

Job summary

EmblemHealth in New York, NY, seeks an experienced actuarial professional to analyze medical expenses, develop studies, and provide decision-ready analyses. You will run pricing and experience analyses, build financial projections, and create data queries to support management decisions.

The role requires 3–5+ years of actuarial/analytical work, progress toward actuarial credentials, and strong skills in SQL, R, Python, Excel, and MS Office.

Qualifications

• 3 - 5+ years relevant, professional work experience and/or education.
• 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.
• Strong mathematical and analytical skills.
• Strong communication skills (verbal, written, presentation).
• Strong working knowledge of MS Office (Outlook, Word, Excel, PowerPoint, etc.)
• Working knowledge of SQL, R, Python or similar
• Capable with Excel, data extraction, simulations, automation.

Responsibilities

• Identify opportunities to reduce medical expenses and collaborate with other areas to implement and monitor performance.
• Develop studies, analyses, and presentation materials needed to 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.
• 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.

Skills

Mathematical & analytical skills

Communication skills

Education

Bachelor's degree in Actuarial Science or related field

Tools

SQL

R

Python

Excel

Job description

Summary Of Position

• 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.

Principal Accountabilities

• 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.

Qualifications

Education, Training, Licenses, Certifications

• Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree (Required)

Relevant Work Experience, Knowledge, Skills, And Abilities

• 3 - 5+ years relevant, professional work experience and/or education. (Required)
• 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. (Preferred)
• Strong mathematical and analytical skills. (Required)
• Strong communication skills (verbal, written, presentation). (Required)
• Strong working knowledge of MS Office (Outlook, Word, Excel, PowerPoint, etc.) (Required)
• Working knowledge of SQL, R, Python or similar (Required)
• Capable with Excel, data extraction, simulations, automation. (Required)

Additional Information

• Requisition ID: 1000003385
• Hiring Range: $65,000-$99,360