Highmark Health RPM- Actuary in Pittsburgh, Pennsylvania
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.
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
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.
Oral & Written Communication Skills
Language (Other than English)
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
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.
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled