EmblemHealth
Location: New York,NY, USA
Date: 2025-01-01T07:06:12Z
Job Description:
Summary:
- Develop/design and test policies for review and approval by Management; present statistical information to actuarial, underwriting, and other business partner leaders to support decisions about the pricing of plans, product development and marketing planning.
- Administer finalized policies; monitor results and provide feedback as needed.
- Collect and compile statistical data for additional analysis.
- Estimate the probability and likely cost of sickness, treatment, and medical services.
Responsibilities:
- Design, test, and administer policies to minimize risk and maximize the profitability of insurance policies; develop and produce charts and other exhibits to explain proposals and calculations.
- Identify trends and patterns in a variety of complex data sets.
- Program and develop pricing and statistical models, spreadsheets, and databases using analytical software.
- Explain complex ideas and technical data to different audiences.
- Identify a company's risks and develop plans and recommendations to manage its risks; present findings to Actuarial management.
- Develop, maintain, and analyze projection models.
- Reconcile and analyze actuarial inputs and outputs.
- Collaborate with key leaders in order to identify and meet information needs.
- Establish actuarial, underwriting, or healthcare economics procedures and document them for internal use.
- Perform additional duties as directed.
Requirements:
- Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required
- 2 - 3+ years of relevant, professional work experience and/or education required
- Understanding of actuarial principles and methodologies with strong mathematical and analytical skills required
- Excellent written and oral communication skills to deliver complex information to a diverse audience up to and including senior management/stakeholders required
- Capable with Excel, data extraction, simulations, automation required
- Proficiency with MS Office (Word, Excel, PowerPoint, Outlook) required
- Exposure to SQL, SAS, Python or similar preferred