Actuarial Services Director

6 days ago


New York, New York, United States EmblemHealth Full time
Job Summary

EmblemHealth seeks an experienced Actuarial Services Director to oversee the development of pricing recommendations for all Commercial Business. The ideal candidate will have a strong background in actuarial science, excellent analytical skills, and the ability to work closely with cross-functional teams to deliver on financial plan membership and margin commitments.

Key Responsibilities
  • Develop and implement pricing strategies to optimize revenue and profitability
  • Lead analytical support and product/strategy evaluation of pharmacy experience and product designs
  • Oversee the development and filing of premium rates for all products with regulatory authorities
  • Manage financial forecasts for Commercial lines of business and identify variance drivers
  • Develop and grow business partner relationships to influence business direction
  • Manage and develop a high-performing Actuarial team, including succession planning and direct report supervision
Requirements
  • Bachelor's degree in Actuarial Science, Mathematics, or related field
  • Associate of the Society of Actuaries (ASA) required, Fellow of the Society of Actuaries (F.S.A.) preferred
  • 12+ years of relevant work experience and/or education, with 10+ years of actuarial experience and 5+ years of management experience
  • Strong mathematical and analytical skills, with proficiency in Excel, data extraction, and simulations
  • Excellent written and oral communication skills, with knowledge of data querying skills using tools such as SQL or SAS Enterprise Guide

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