EmblemHealth
Sr. Staff Actuary (State Sponsored Programs)
Join to apply for the
Sr. Staff Actuary (State Sponsored Programs)
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EmblemHealth Sr. Staff Actuary (State Sponsored Programs)
2 days ago Be among the first 25 applicants Join to apply for the
Sr. Staff Actuary (State Sponsored Programs)
role at
EmblemHealth Get AI-powered advice on this job and more exclusive features. 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.
Summary Of Position
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.
Principal Accountabilities
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.
Qualifications
Education, Training, Licenses, Certifications
Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required 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
Relevant Work Experience, Knowledge, Skills, And Abilities
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: 1000002647 Hiring Range: $92,880-$178,200 Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Finance and Sales Industries Insurance Referrals increase your chances of interviewing at EmblemHealth by 2x Sign in to set job alerts for “Senior Actuary” roles.
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Join to apply for the
Sr. Staff Actuary (State Sponsored Programs)
role at
EmblemHealth Sr. Staff Actuary (State Sponsored Programs)
2 days ago Be among the first 25 applicants Join to apply for the
Sr. Staff Actuary (State Sponsored Programs)
role at
EmblemHealth Get AI-powered advice on this job and more exclusive features. 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.
Summary Of Position
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.
Principal Accountabilities
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.
Qualifications
Education, Training, Licenses, Certifications
Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required 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
Relevant Work Experience, Knowledge, Skills, And Abilities
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: 1000002647 Hiring Range: $92,880-$178,200 Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Finance and Sales Industries Insurance Referrals increase your chances of interviewing at EmblemHealth by 2x Sign in to set job alerts for “Senior Actuary” roles.
New York, NY $128,000.00-$160,000.00 2 weeks ago Jersey City, NJ $110,000.00-$160,000.00 2 weeks ago Jersey City, NJ $110,000.00-$160,000.00 2 weeks ago New York, NY $52,000.00-$92,000.00 2 months ago Jersey City, NJ $116,000.00-$190,000.00 2 months ago New York, NY $80,000.00-$110,000.00 11 months ago New York, NY $220,000.00-$250,000.00 2 weeks ago Director and Actuary (Strategy & Special Initiatives)
Blackstone Credit & Insurance – Acquisitions, Senior Associate – M&A Actuary
New York, NY $150,000.00-$215,000.00 1 month ago International Wealth Consultant (Actuary)
New York, NY $120,000.00-$160,000.00 1 week ago New York City Metropolitan Area $150,000.00-$190,000.00 1 day ago New York, NY $130,000.00-$213,000.00 2 weeks ago Global Banking & Markets, Equity Derivatives Structuring, Product & Pricing Actuary, Associate - New York
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New York, NY $120,000.00-$150,000.00 6 days ago Director, Insurance Accounting 100% Remote
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New York City Metropolitan Area 5 days ago Senior Health Claims Analyst - Large Claims Expert
New York City Metropolitan Area 5 days ago New York City Metropolitan Area 5 days ago New York City Metropolitan Area 1 week ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr