Highmark Health
Highmark Health
Highmark Health odamlarning tibbiy yordamni qanday qabul qilishi va undan qanday foydalanishini yaxshilashga e’tibor qaratadigan sog‘liqni saqlash tashkilotidir. Uning faoliyati tibbiy xizmatlarni ko‘rsatishni qo‘llab-quvvatlaydigan klinik xizmatlar, texnologiya, moliya, marketing va boshqa funksiyalarni qamrab oladi. Blue Cross Blue Shield Association’ning mustaqil litsenziya egasi sifatida kompaniya sog‘liqni saqlash tizimini rivojlantirishga yordam berish uchun turli sohalardagi keng doiradagi mutaxassislarni birlashtiradi. Highmark Health xilma-xillik, tenglik va inklyuziyaga ham katta ahamiyat beradi hamda nogironligi bo‘lgan shaxslarni qo‘llab-quvvatlash va harbiy xizmatchilar uchun qulay ish beruvchi sifatida e’tirof etilgan.

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.

Tavsif

  • 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

Talablar

  • 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%

Imtiyozlar

  • 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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