Actuarial Analyst

$59,800 - $97,155/Yr

Health First - New York, NY

posted 3 months ago

Full-time
New York, NY
Ambulatory Health Care Services

About the position

As an Actuarial Analyst at Healthfirst, you will play a crucial role in managing and analyzing data related to premiums, claims, enrollment, and administrative expenses. Your work will involve preparing reports for government and regulatory entities such as CMS, NYSID, and NYDOH, as well as generating routine internal reports. You will be responsible for performing risk score assessments, pricing, and other data analytics specifically for Medicare products. This position also includes assisting in the Medicare Part C and Part D bid process, which encompasses bid preparation and desk review follow-ups. Additionally, you will monitor and analyze the performance of Medicare products and conduct other ad-hoc analyses as required. The ideal candidate will possess strong analytical skills and be adept at using Excel to create pivot tables, v-lookups, and visual representations of data. You will need to be a strategic thinker who can manage multiple projects simultaneously while maintaining exceptional verbal and written communication skills. Your ability to collect, analyze, and summarize both qualitative and quantitative data will be essential in driving meaningful results and initiatives within the organization. This role requires a proactive approach to problem-solving and a commitment to delivering high-quality work in a fast-paced environment.

Responsibilities

  • Handle premiums, claims, enrollment, and administrative expense data for reports to government and regulatory entities.
  • Perform risk score, pricing and other data analytics for Medicare products.
  • Assist in the Medicare Part C and Part D bid process, including bid preparation and desk review follow-ups.
  • Monitor and analyze the performance of Medicare products.
  • Conduct other ad-hoc analysis on Medicare products.

Requirements

  • Bachelor's degree in Actuarial Science, Math, Economics, Finance or any related degree.
  • Strong Excel skills, including ability to create pivot tables, v-lookups, graphs/visuals and perform troubleshooting.
  • Ability to collect, analyze and summarize qualitative/quantitative data.
  • Strong planning and organizational skills, with an ability to establish a strategic direction and outline initiatives.
  • Strategic thinker, creative, innovative, and execution-focused, turning ideas into measurable and meaningful results.
  • Ability to work on multiple projects.
  • Exceptional verbal and written communication skills.

Nice-to-haves

  • Passed 1 to 2 Actuarial Exams.
  • Experience with programming/coding, preferably SAS, SQL, or Python.
  • Experience working with large and complex datasets, including both financial and healthcare data.
  • Work experience within Managed Care, Medicare/Commercial Healthcare or Hospital in the actuarial field.

Benefits

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Vision insurance
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