Actuarial Analyst (Remote)

$52,000 - $92,000/Yr

EmblemHealth - New York, NY

Full-time - Entry Level

Remote - New York, NY

Insurance Carriers and Related Activities

About the position

As an Actuarial Analyst at EmblemHealth, you will play a crucial role in identifying opportunities to reduce medical expenses while collaborating with various departments to implement and monitor performance metrics. Your primary responsibilities will include developing studies, analyses, and presentation materials that effectively inform decision-makers about financial projections and pricing analyses. You will be tasked with running, modifying, and creating data queries to produce insightful analyses and reports that support the organization's goals. In this position, you will perform a variety of actuarial tasks that require strong mathematical and quantitative skills. This includes analyzing hospital, professional, and drug claim/utilization trends, as well as demographic data related to membership. You will maintain appropriate controls around models and other work products, ensuring that all deliverables are completed on time and meet quality standards. Additionally, you will assist with rate filings and valuation calculations, support the preparation of forecasts, and monitor results or trends to provide actionable insights. Your role will also involve developing efficient and transparent queries to obtain relevant data, ensuring internal and external consistency in all work. You will perform reasonability checks based on your industry knowledge and experience, and you will be expected to develop and implement analyses for special projects as needed. Providing technical and analytical support for the actuarial department will be a key aspect of your responsibilities, and you will proactively take on additional work as required by the team. Overall, this position is designed for a motivated individual who is eager to contribute to the actuarial function within a healthcare environment.

Responsibilities

• 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.

Requirements

• Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required.
• 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.
• 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.