Highmark Health Actuary in Pittsburgh, Pennsylvania

Description

JOB SUMMARY

This job prepares, performs and analyzes actuarial studies and processes. Applies actuarial techniques and statistical analysis to at least one of several functions such as insurance premium and pricing development, claim trend analysis, experience studies, medical economics analysis, profitability analysis, wellness studies, predictive modeling, and claim reserving.

ESSENTIAL RESPONSIBILITIES

  • Prepare studies, analyses, and presentations to allow management to make informed business decisions for both internal and external customers.

  • Establish quality control processes around all work, analysis, and models. Continually enhance their company and industry knowledge to apply appropriate reasonableness checks.

  • Propose and develop improvements to existing processes that align with the goals and objectives of the department and company.

  • Pull, summarize, and analyze data from internal databases.

  • Perform all work in accordance with applicable laws, regulations, and actuarial professional standards.

  • Perform ad hoc actuarial projects and other duties as assigned or requested.

  • May assist with training new employees.

  • Other tasks as required.

EDUCATION

Required

  • Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or a closely related field is required for all levels

Substitutions

  • None

Preferred

  • None

EXPERIENCE

Required

  • 5 - 7 years of relevant, progressive experience in the area of specialization Grandfathered experience requirements effective August 2016

Preferred

  • None

SKILLS

  • Knows and applies principles, practices, and processes within the specific field or discipline. Building higher-level knowledge and skills. Gathers and analyzes information, designs and tests solutions to problems, and formulates plans

  • Performs work that is varied and somewhat difficult. Solves a range of problems by analyzing possible solutions using standard processes

SCOPE OF RESPONSIBILITY

Does this role supervise/manage other employees?

No

WORK ENVIRONMENT

Is Travel Required?

No

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 position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

Employee Referral Level 4

REQNUMBER: J126731

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled