This role will support Highmark’s Enterprise Pharmacy Analytics department. This is a great opportunity for an ASA to make their mark; develop and take ownership of whole processes. This opportunity will allow you to leverage your technical skills, but also to demonstrate your soft skills and customer focus. You will be tasked with supporting numerous initiatives throughout the organization including Value Based Insurance, Clinical Studies at the health system, and Pharmacy Analytics for the health plan. Get broad, visible exposure to all elements of the business simultaneously; from the enterprise, health plan, to the delivery system (providers). The demands of our department are varied and growing, so the breadth of initiatives you’ll be involved with will never grow stale!
- Outline data requirements for a study or analysis. Give direction to less experienced staff and review the appropriateness of the results in light of experience and industry knowledge.
- Initiate and lead the development of studies, analyses, and presentation materials needed to appropriately inform decision makers. Make appropriate recommendations to senior management across teams both within the actuarial department and across other departments.
- Proactively ensure the internal and external consistency of all work. Perform reasonability checks dependent on advanced industry knowledge and experience. Promptly and efficiently identify outliers and anomolies in the work of others. Identify methods to test whether suspect results are correct. Form reasonable approximations in advance of results of an analysis and determine whether deviations are reasonable or suspect.
- Understand the environment, goals, and objectives of the incumbent's own position, their team, and all internal customers. Demonstrate a thorough understanding of both corporate and division goals and values. Apply corporate, professional, and industry knowledge & insight to all tasks under incumbent's control or influence. Effectively advocate across entire corporation for appropriate positions, processes, and systems which can reasonably be adopted.
- Manage own time and resources across many projects, focusing on quality, time, scope, usefulness, and appropriateness of work. Routinely plan and organize work of less experienced staff. Mentor and assist in development of less experienced staff. Keep manager informed.
- Use effective communication to present information and provide decision support to team members and executive management. Appropriately balance the need for clarity and brevity with the need to fully inform customers of all aspects of a situation which may be material to a decision.
- Represent department's perspectives and needs in cross disciplinary settings. Consistent with the direction and expectations of incumbent's supervisor: evaluate proposals; clearly communicate impacts and issues to both internal and external audiences; and, negotiate appropriate compromises and solutions.
- Other duties as assigned.
- Bachelor's Degree in Actuarial Science, Mathematics, Statistics or closely related field
- 5 - 7 years of Actuary experience in area of specialization
- Pursuing FSA exams towards FSA Certification
- Solid working knowledge of SAS and SQL. Experience with Tableau a plus.
- Experience with Pharmacy analysis is a plus, such as commercial pricing, Medicaid, Part D, and/or PBM pricing.
- Demonstrated experience in broad areas of actuarial work that required problem solving, numerical analysis, and a need for accuracy.
- Effective communication is a strongly preferred; this role will be working closely with internal customers outside of the actuarial department.
- Experience in a matrixed work environment collaborating with multiple customers and project partners is a plus.
- Experience in working on a variety of projects and an ability to manage competing priorities.
LICENSES AND CERTIFICATIONS
- Associate of the Society of Actuaries (ASA)
- Fellow of the Society of Actuaries (FSA)
- Possesses and applies a comprehensive and in-depth knowledge of actuarial principles, concepts, practices and processes within the field of specialization
- Possesses significant expertise to complete complex assignments and ability to visualize, articulate, and solve complex problems while leading others to complete complex assignments
- Develops, designs, and tests analytic frameworks to solve complex problems using innovative approaches
- Assignments are broad in scope and require depth of knowledge as well as ingenuity and originality.
- Analytical Skills
- Oral & Written Communication Skills
This job is an ASA Certified actuary position that initiates and leads the development of actuarial studies and analyses. Gives direction to less experienced staff and will represent the department's perspectives and needs in cross disciplinary settings. The incumbent 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.
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.
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