PA, USA
5 days ago
Senior Actuarial Analyst
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 role4 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. 

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, age, 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, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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