Company :Highmark Inc.Job Description :
JOB SUMMARY
This job is a senior level actuarial analyst position. Participates in Highmark’s Actuarial Executive Development Program and is expected to make continued progress towards actuarial credential. Utilizes experience and industry knowledge to define & diagnose a problem, outline data requirements for a study or analysis, and devise potential solutions. Guides and mentors less experienced staff and provides decision support to team members while initiating and leading the development of actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers and making appropriate recommendations to management. Will work to develop efficient processes and will apply actuarial techniques and statistical analysis to several functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, provider efficiency, provider contracting analysis or claim reserving.
ESSENTIAL RESPONSIBILITIES
- Define & diagnose a problem. Outline data requirements for a study or analysis and devise potential solutions. Review the appropriateness of the results in light of experience and industry knowledge. Consider alternate explanations or viewpoints before drawing conclusions.
- Create studies, analyses, and presentation materials needed to appropriately inform decision makers. Make appropriate recommendations to management across teams within the actuarial department.
- Proactively ensure the internal and external consistency of all work. Use industry knowledge to perform reasonability checks as well as exceed customer expectations. Identify methods to test whether suspect results are correct.
- Take the initiative to utilize internal and external knowledge forums to gain broader industry perspective. Demonstrate subject matter expertise, and as a result is sought out by others for technical input on producing accurate and efficient work. Promptly and efficiently identify outliers and anomalies in the work of others. Seek continual feedback from manager and others in order to advance personal development and career goals.
- Understand the environment, goals, and objectives of the incumbent's own position, their team, and all internal customers. Use experience and industry knowledge to envision and implement new processes and propose changes to existing processes, leading to improved outcomes that better conform to corporate goals, objectives, and values. Demonstrate a capacity to shift between “big picture” and “detailed” thinking when analyzing issues and their strategic importance.
- Independently manage own time and resources across many projects. Demonstrate responsiveness, flexibility, and ability to independently prioritize when shifting from one task to another. Comfortable in a dynamic, changing environment. Approach new challenges with anticipation and a view towards success. Carry out recurring projects with minimal assistance and oversight. Keep manager informed.
- Interact with stakeholders in a manner that fosters cooperation and teamwork while conveying engagement and competence. Enhance department influence by providing responsive service and understanding customer needs. Effectively explain technical work to both technical and non-technical people and provide decision support to team members. Correctly interpret direct and indirect messages and verbal and non-verbal behaviors and respond appropriately.
- Guide and mentor less experienced staff on a regular basis in a manner that fosters teamwork and excellence. Listen, take direction, accept criticism and feedback and adjust behavior accordingly to improve performance. Demonstrate flexibility and proactively take on additional work as needed by the team, leading by example.
- Other duties as assigned or requested.
EDUCATION
Required
- Bachelor’s Degree or its equivalent in Actuarial Science, Mathematics, Statistics or closely related discipline
Substitution
- None
Preferred
- Master's Degree or its equivalent in Actuarial Science, Mathematics, Statistics or closely related discipline
EXPERIENCE
Required
- 3 years experience in an Actuarial role
- 6 Exam Components
Preferred
- 10 or more Exam Components
LICENSES AND CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Possesses and applies an in-depth knowledge of actuarial principles, concepts, practices and processes within multiple fields or disciplines
- Possesses significant expertise to complete complex assignments and ability to visualize, articulate, and solve complex problems while leading others to complete straightforward assignments
- Analytical Skills
- Oral & Written Communication Skills
- Problem-Solving
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Frequently
Audible Speech
Constantly
Hear
Constantly
Position self or move lower on ground, under tables/desks, etc.
Never
Climb
Never
Drive
Occasionally
Reach
Frequently
Sedentary position
Frequently
Move
Frequently
Repetitive Motion
Frequently
Use Hands/Fingers to Handle or Feel (beyond just data entry)
Frequently
Vision – Distinguish Color
Frequently
Vision – Far, Near, Depth Perception
Frequently
Move, transport, transfer – up to 10 lbs (Sedentary Work)
Occasionally
Move, transport, transfer – up to 20 lbs (Light Work)
Occasionally
Move, transport, transfer – up to 50 lbs (Medium Work)
Occasionally
Move, transport, transfer – excess of 50lbs (Heavy Work)
Never
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.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
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Top Skills
What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.
A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.
Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia.
We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.
We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.
