Staff Actuary - Valuation

Title: Staff Actuary - Valuation

Location: New York, New York

EmblemHealth

Job Description:

REMOTE

Summary of Position

• 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.

Principal Accountabilities

• Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses. 
   
• Identify opportunities to improve product performance in collaboration with all areas of the organization.
   
• Oversee the development and filing of premium rates for all products with the appropriate regulatory authority (e.g., CMS, New York Dep’t of Health).
   
• Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs to increase Emblem’s premium revenue for these segments.
   
• Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff.
   
• Regular attendance is an essential function of the job. Perform other duties as assigned or required.

Qualifications

Education, Training, Licenses, Certifications

• Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required
   
• Associate of the Society of Actuaries (ASA) required

Relevant Work Experience, Knowledge, Skills, and Abilities

• 5 – 8+ years relevant professional work experience and/or education required
   
• 4+ years health insurance actuarial experience, preferably in the managed care industry required
   
• Prior management experience (processes and/or staff) preferred
   
• A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required
   
• Ability to communicate effectively with Business leaders required
   
• Expert level skills with database, spreadsheet, and analytical software required
   
• Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required
   
• Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred
   
• Capable with data extraction, simulations, automation required

Additional Information

• Requisition ID: 1000003124
• Hiring Range: $77,760-$149,040

Security Disclosure

If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” 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.

Pay Disclosure

At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.

EEOC Statement

We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, age, creed, citizenship status, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law. 

Sponsorship Statement

At EmblemHealth, we are committed to building a diverse and talented workforce. However, we are unable to consider applicants who require, or are likely to require, either before or after hire, visa sponsorship for work authorization in the United States, including but not limited to H-1B, F-1 (STEM OPT), TN, or any other non-immigrant status. Some extremely rare exceptions may apply based on critical business needs.