Actuarial Analyst

Emblem Health is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, Emblem Health partners with top hospitals and doctors, including its own Advantage Care Physicians, to deliver quality, affordable, convenient care.

At over a dozen Emblem Health Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit  .

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• 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.

• 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 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)

• Hiring Range: $65,000-$99,360

If you receive a job offer from Emblem Health, the email will be from "HRTalent

Acquisition" with the subject: "Offer of Employment for (job title) – Please respond online." We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.

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