Talent.com
Senior Staff Actuary (Large Group)
Senior Staff Actuary (Large Group)EmblemHealth • New York, NY, United States
Senior Staff Actuary (Large Group)

Senior Staff Actuary (Large Group)

EmblemHealth • New York, NY, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non‑members alike have access to community‑based health and wellness guidance and resources. For more information, visitemblemhealth.com .

If you’rean EmblemHealth employee, unlock your career potential by signing in at the top of this page. Access your employee profile to view internal job postings and explore new opportunities.

  • Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies.
  • Lead projects to analyze current rate structures and develop improvements and alternatives.
  • Coordinate the actuarial staff as needed to support the activities of the affiliates.
  • Lead actuarial staff as needed to support the activities of the affiliates.

Responsibilities

  • Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses.
  • Work collaboratively with all areas of the organization to identify opportunities to improve product performance.
  • Oversee the development and filing of premium rates and / or expected costs with the appropriate regulatory authority (e.g., CMS, New York Department of Health).
  • Work closely with Risk Adjustment and other areas.
  • Advise and develop direct reports accountable for at least one line of business (e.g. ACA, Large Group, Medicare, Medicaid, SSP), as well as other staff.
  • Perform other duties as assigned or required.
  • Qualifications

  • Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance / business degree required
  • Associate of the Society of Actuaries (A.S.A.) required
  • Member of the American Academy of Actuaries (M.A.A.A.) required
  • Fellow of the Society of Actuaries (F.S.A.) preferred
  • 10+ years of relevant, professional work experience and / or education required
  • 6+ years of actuarial experience with ASA; or 5+ years’ experience with an FSA required
  • 5+ years health insurance actuarial experience, preferably in the managed care industry required
  • 1+ year of management experience required
  • Comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required
  • Knowledge of reimbursement methodologies required
  • Ability to develop actionable reports for senior management required
  • Excellent written and oral communication skills to deliver complex information required
  • Proficiency with MS Office (Work, Excel, Access, PowerPoint, Outlook); data extraction, simulations, automation required
  • Requisition ID : 1000002804
  • Hiring Range : $92,880->
  • $178,200

    Security Disclosure

    If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject : “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third‑party email services like Yahoo or Gmail.

    Pay Disclosure

    At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual’s circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.

    EEOC Statement

    We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.

    Sponsorship Statement

    At EmblemHealth, we are committed to building a diverse and talented workforce. However, we are unable to consider applicants who require, or are likely to require, either before or after hire, visa sponsorship for work authorization in the United States, including but not limited to H‑1B, F‑1 (STEM OPT), TN, or any other non‑immigrant status. Some extremely rare exceptions may apply based on critical business needs.

    #J-18808-Ljbffr

    [job_alerts.create_a_job]

    Senior Actuary • New York, NY, United States

    [internal_linking.similar_jobs]
    Insurance Account Manager

    Insurance Account Manager

    AccessWave • Red Bank, NJ, US
    [job_card.full_time]
    AccessWave is a dynamic community designed for private business owners, principals, and C-level executives seeking actionable insights from seasoned leaders who have faced similar challenges.We pro...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Global Actuarial Analyst II - Hybrid, NYC

    Global Actuarial Analyst II - Hybrid, NYC

    Tokio Marine North America Services • New York, NY, US
    [job_card.full_time]
    Supports GPA department functions and staff by performing actuarial analyses and calculations, preparing reports, participating in meetings, and participating in various actuarial projects.Support ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Supervisor

    Supervisor

    Summit Wash Holdings • Middletown, NJ, US
    [job_card.full_time]
    Medical, Dental, and Vision Insurance.Career Growth based on Performance and not Seniority – 75% of employees were promoted within Summit Wash Holdings. Summit Wash Holdings is a premier group...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Property & Casualty Account Manager

    Property & Casualty Account Manager

    Group Ninety Nine LLC • Red Bank, NJ, US
    [job_card.full_time]
    The Competitive Advantage Companies.Property & Casualty Account Executive.This role requires experience in insurance client services, along with strong technical skills in quoting, endorsements...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Actuary

    Actuary

    TradeJobsWorkForce • 10704 Yonkers, NY, US
    [job_card.full_time]
    Compile statistical data and other information for further analysis Estimate the probability and likely economic cost of an event such as death, sickness, an accident, or a natural disaster Design,...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Commercial Lines Insurance Account Manager

    Commercial Lines Insurance Account Manager

    NJAA - New Jersey Agents Alliance • Lincroft, NJ, US
    [job_card.full_time]
    The Rosell Insurance Agency is searching for an exceptional Commercial Lines Account Manager.Our Account Managers take a holistic approach to the overall management of our clients’ portfolios...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Staff Associate - Management

    Staff Associate - Management

    Columbia University • Manhattanville, NY, United States
    [job_card.full_time]
    The work will include quantitative and qualitative research and analysis, collection, coordination and management of information and data, development of research materials (figures, presentations,...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Associate Registrar

    Associate Registrar

    Pride Health • Bronx, NY, US
    [job_card.full_time]
    Certified Trauma Registrar (Remote Role).This is a 7 Week assignment with the possibility of a contract-to-hire opportunity and a great way to start working with a top-tier healthcare organization!...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Actuary

    Actuary

    TradeJobsWorkforce • 10027 New York, NY, US
    [job_card.full_time]
    Actuary Job Duties : Interprets financial information to determine forecasts and ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Technical Assistant-Commercial Insurance-Entry Level

    Technical Assistant-Commercial Insurance-Entry Level

    Jencap • Red Bank, NJ, US
    [job_card.full_time]
    We are one of the largest wholesale insurance intermediaries in the United States with expertise in wholesale brokerage, binding authority, and program management. The common thread woven throughout...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Companionship & Care Aide

    Senior Companionship & Care Aide

    Papa Inc. • Asbury Park, NJ, United States
    [job_card.full_time]
    Papa facilitates these connections through its technology platform.We're looking for kind, patient, and caring people who want to make a positive difference by offering companionship and everyday a...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Senior Associate, Assurance - Nonprofit

    Senior Associate, Assurance - Nonprofit

    Forvis Mazars • New York, NY, United States
    [job_card.full_time]
    The Assurance team delivers independent, objective services that bring transparency and confidence to financial reporting. With deep industry knowledge and a proactive, communicative approach, we he...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Payroll Director

    Payroll Director

    Vaco by Highspring • Long Branch, NJ, US
    [job_card.permanent]
    Our client is seeking an experienced.This role will lead a team responsible for ensuring accurate, compliant, and efficient payroll processing while driving strategic initiatives that enhance organ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Actuary - Pricing Annuity / Life

    Senior Actuary - Pricing Annuity / Life

    Smith Hanley Associates • New York, NY, United States
    [job_card.full_time]
    Senior Actuary - Pricing Annuity / Life.A fast-growing insurance group is hiring a Senior Actuary to focus on pricing, reinsurance, in-force management, and product development for life and annuity p...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Actuary

    Actuary

    Munich RE • New York, New York, United States
    [job_card.full_time]
    New York, United States; Philadelphia, United States; Princeton, United States; .We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Actuary

    Actuary

    Applied Underwriters • New York, NY, US
    [job_card.full_time]
    United Risk is a global property and casualty insurance underwriting and distribution platform with deep worldwide technical resources, large underwriting capacity, and an entrepreneurial spirit.A ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    SENIOR ACTUARY ANALYST

    SENIOR ACTUARY ANALYST

    The Carlisle Group (TCG) • Glen Rock, NJ, United States
    [job_card.full_time]
    Be among the first 25 applicants.Our client is a well respected Property & Casualty Insurance organization and they have retained The Carlisle Group to conduct a search for a Senior Actuarial Analy...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Commercial Insurance Account Manager

    Commercial Insurance Account Manager

    Rosell Insurance Agency • Shrewsbury, NJ, US
    [job_card.full_time]
    We know you will be successful with.If this sounds like the opportunity youve been looking for, then apply today!.Must currently possess an active New Jersey Property and Casualty License.Annual Ba...[show_more]
    [last_updated.last_updated_30] • [promoted]