Job Title : Sr. Staff Actuary
Location : New York
Company : EmblemHealth
Salary :
Open Date : 2023-12-29
Close Date : 2024-02-29
Summary: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.Responsibilities: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.Requirements:Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree requiredAssociate of the Society of Actuaries (A.S.A.) requiredMember of the American Academy of Actuaries (M.A.A.A.) requiredFellow of the Society of Actuaries (F.S.A.) preferred10+ years of relevant, professional work experience and/or education required6+ years of actuarial experience with ASA; or 5+ years' experience with an FSA required5+ years health insurance actuarial experience required, preferably in the managed care industry1+ year of management experience requiredComprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required