Senior Actuarial Analyst - Value Based Reimbursement Operations

Job ID: J125716
Company: Highmark Health
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Jun 29, 2018

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Description

JOB SUMMARY

This job is a mid-level actuarial analyst position that prepares, performs, and analyzes actuarial studies, making appropriate recommendations to actuarial management.  Develops efficient processes and applies actuarial techniques and statistical analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, or claim reserving.

ESSENTIAL RESPONSIBILITIES

  • Develop efficient and transparent queries to obtain data that is appropriate to the purpose with minimal assistance and oversight.
  • Develop studies, analyses, and presentation materials needed to appropriately inform decision makers.  Make appropriate recommendations to management across teams within the actuarial department.
  • Proactively ensure the internal and external consistency of all work.  Perform reasonability checks dependent on industry knowledge and experience.
  • Understand the environment, goals, and objectives of the incumbent's own position, their team, and all internal customers.  Take the initiative to propose changes to projects, systems, processes, or decisions so that the results of all the teams' efforts conform better to corporate goals, objectives, and values.
  • Manage own time and resources across many projects, focusing on quality, time, scope, usefulness, and appropriateness of work.  Carry out recurring projects with minimal assistance and oversight.  Keep manager informed.
  • Interact with customers in a manner that fosters cooperation, teamwork, and influence while conveying engagement and competence.  Enhance department influence while conveying engagement and competence.  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 to improve performance.  Proactively take on additional work as needed by the team.  Answer questions of less experienced staff.
  • Other duties as assigned.

EDUCATION

Required

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

Substitutions

  • None

Preferred

  • None

EXPERIENCE

Required

  • 2 -5 years in an Actuarial role
  • 3 Exam Components

Preferred

  • 4+ 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 Required

0%  - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Does Not Apply

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 

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

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.

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 their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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