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Highmark Health

Senior Actuarial Analyst

Posted 11 Days Ago
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In-Office or Remote
Hiring Remotely in Home, PA
73K-117K Annually
Senior level
In-Office or Remote
Hiring Remotely in Home, PA
73K-117K Annually
Senior level
Performs actuarial analyses supporting insurance pricing, premium development, claims trends, experience studies, medical economics, profitability, predictive modeling, provider analysis, and claim reserving. Develops data queries, conducts studies, prepares presentations, validates work quality, recommends process improvements, manages multiple projects, and communicates findings to technical and non-technical stakeholders. Participates in an actuarial development program and progresses toward professional credentialing.
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Company :Highmark Inc.Job Description : 
Job Description

JOB SUMMARY

This job is a mid-level actuarial analyst position.  Participate in Highmark’s Actuarial Executive Development Program and is expected to make continued progress towards actuarial credential and apply actuarial techniques and statistical analysis to several functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, provider efficiency, provider contracting analysis or claim reserving.

ESSENTIAL RESPONSIBILITIES

  • Develop efficient and transparent queries to obtain data that is appropriate to the purpose with minimal assistance and oversight. Consider alternate explanations or viewpoints before drawing conclusions and make appropriate recommendations to management.                                                                       
  • Create studies, analyses, and presentation materials needed to appropriately inform decision makers. Seek input and assistance as required to ensure actuarial work, analyses, and materials are appropriate and making appropriate recommendations to actuarial management.                                                           
  • Proactively ensure the internal and external consistency of all work. Request input from others to ensure quality standards are being maintained.                                                                              
  • Demonstrate eagerness and curiosity with a strong desire to learn new concepts and actively develop their skills & knowledge.  Seeks continual feedback from manager and others in order to advance personal development and career goals.                                                                   
  • Understand the environment, goals, and objectives of the incumbent's own position, their team, and all internal customers. Propose changes to existing processes, leading to improved outcomes that better conform to corporate goals, objectives, and values.                                                                     
  • Manage own time and resources across many projects, focusing on quality, time, scope, usefulness, and appropriateness of work.  Demonstrate responsiveness to shift from one task to another without losing focus on current work.  Is comfortable in a dynamic, changing environment.  Approach new challenges with anticipation and a view towards success.  Carry out recurring projects with minimal assistance and oversight. Keep manager informed.                                                                               
  • Interact with stakeholders in a manner that fosters cooperation and teamwork while conveying engagement and competence. Enhance department influence by providing responsive service and understanding customer needs. Effectively explain technical work to both technical and non-technical people.   
  • Develop and maintain positive relationship with others. Listen, take direction, accept criticism and feedback and adjust behavior accordingly to improve performance. Perform assigned tasks and proactively take on additional work as needed by the team.  Answer questions of less experienced staff and provide concise & consistent communication.
  • Other duties as assigned or requested.

                                                                ​

EDUCATION

Required

  • Bachelor's Degree in Actuarial Science, Mathematics, Statistics or closely related field

Substitutions

  • None

Preferred

  • None

EXPERIENCE

Required

  • 2 years experience in an Actuarial role
  • 4 Exam Components

Preferred

  • 6 or more Exam Components

LICENSES AND CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

  • Possesses and applies an in-depth knowledge of actuarial principles, concepts, practices and processes within a specific field or discipline                                                                                                             
  • Possesses significant knowledge to complete assignments and begins to visualize, articulate, and solve complex problems                                                                                                            
  • Analytical Skills                                                                                                 
  • Oral & Written Communication Skills                                                                                                      
  • Problem-Solving                                                                                                              

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Frequently

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Frequently

Audible Speech

Constantly

Hear   

Constantly

Position self or move lower on ground, under tables/desks, etc. 

Never

Climb

Never

Drive    

Occasionally

Reach 

Frequently

Sedentary position    

Frequently

Move 

Frequently

Repetitive Motion   

Frequently

Use Hands/Fingers to Handle or Feel (beyond just data entry)      

Frequently

Vision – Distinguish Color  

Frequently

Vision – Far, Near, Depth Perception  

Frequently

Move, transport, transfer – up to 10 lbs (Sedentary Work)    

Occasionally

Move, transport, transfer – up to 20 lbs (Light Work)      

Occasionally

Move, transport, transfer – up to 50 lbs (Medium Work) 

Occasionally

Move, transport, transfer – excess of 50lbs (Heavy Work)        

Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 

Pay Range Minimum:

$72,700.00

Pay Range Maximum:

$116,600.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.


Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.


California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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