Pricing and Reserve Specialist

1 day ago


New York, New York, United States EmblemHealth Full time

Job Description:

EmblemHealth, a leading health insurer, is seeking an experienced Actuary to lead our pricing and reserve strategy initiatives. This role involves working closely with senior management to develop actionable reports and drive business growth.

About the Position:

  • Lead actuarial staff as needed to support the activities of the affiliates.
  • Work closely with Risk Adjustment and other areas.
  • Collaborate with all areas of the organization to identify opportunities to improve product performance.

Key Responsibilities:

  • Analyze and develop premium rates and/or expected costs with the appropriate regulatory authority.
  • Collaborate with cross-functional teams to identify opportunities to improve product performance.
  • Develop and maintain relationships with affiliate actuarial teams.

Requirements:

  • Bachelor's degree in Actuarial Science, Mathematics, or related finance/business degree required.
  • 10+ years of relevant, professional work experience and/or education required.
  • 5+ years health insurance actuarial experience, preferably in the managed care industry required.
  • Salary: $130,000 per year.


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