Highmark Health
Highmark Health
„Highmark Health“ yra sveikatos priežiūros organizacija, siekianti gerinti žmonių sveikatos priežiūros patirtį ir galimybes gauti priežiūrą. Jos veikla apima klinikines paslaugas, technologijas, finansus, rinkodarą ir kitas sritis, padedančias teikti sveikatos priežiūros paslaugas. Būdama nepriklausoma „Blue Cross Blue Shield Association“ licencijos turėtoja, įmonė suburia įvairių sričių specialistus, kad padėtų tobulinti sveikatos priežiūros sistemą. „Highmark Health“ taip pat pabrėžia įvairovę, lygybę ir įtrauktį, o jos veikla įvertinta už neįgaliųjų įtrauktį ir palankią aplinką kariuomenės bendruomenės nariams.

Senior Actuarial Analyst

Use actuarial methods and statistical analysis to support Highmark Health’s insurance pricing, claims analysis, and provider economics. Develop studies, models, and recommendations for decision makers.

Aprašymas

  • Contribute to Highmark’s Actuarial Executive Development Program
  • Apply actuarial methods and statistical analysis across insurance pricing, claim trends, experience studies, medical economics, profitability, wellness, predictive modeling, provider efficiency and contracting, and claim reserving
  • Build efficient, transparent queries to retrieve suitable data
  • Evaluate alternative explanations and recommend actions to management
  • Prepare studies, analyses, and presentations for decision makers
  • Maintain consistency across internal and external work and uphold quality standards
  • Recommend process improvements that support better outcomes and corporate goals
  • Coordinate time and resources across projects, delivering recurring work with limited oversight
  • Work with stakeholders, explain technical analysis to technical and non-technical audiences, and provide responsive service
  • Respond to less experienced colleagues’ questions and communicate guidance
  • Carry out other assigned duties

Reikalavimai

  • Bachelor’s degree in actuarial science, mathematics, statistics, or a closely related field
  • Two years of experience in an actuarial role
  • Four exam components
  • In-depth knowledge of actuarial principles, concepts, practices, and processes in a specific field or discipline
  • Substantial knowledge to complete assignments and begin framing, articulating, and solving complex problems
  • Analytical skills
  • Oral and written communication skills
  • Problem-solving skills
  • Ability to follow HIPAA requirements, data security guidelines, company policies, the code of business conduct, and applicable laws
  • Willingness to travel 0%–25%

Privalumai

  • Participation in Highmark’s Actuarial Executive Development Program
  • Ongoing development toward an actuarial credential
  • Professional development and feedback to support career goals

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