[ Company :
Highmark Inc.Job Description :

JOB SUMMARY

This job is an ASA Certified actuary position that initiates and leads the development of actuarial studies and analyses. Gives direction to less experienced staff and will represent the department's perspectives and needs in cross disciplinary settings. The incumbent applies actuarial techniques and statistical analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, or claim reserving.

ESSENTIAL RESPONSIBILITIES

• Outline data requirements for a study or analysis. Give direction to less experienced staff and review the appropriateness of the results in light of experience and industry knowledge.
• Initiate and lead the development of studies, analyses, and presentation materials needed to appropriately inform decision makers. Make appropriate recommendations to senior management across teams both within the actuarial department and across other departments.
• Proactively ensure the internal and external consistency of all work. Perform reasonability checks dependent on advanced industry knowledge and experience. Promptly and efficiently identify outliers and anomalies in the work of others. Identify methods to test whether suspect results are correct. Form reasonable approximations in advance of results of an analysis and determine whether deviations are reasonable or suspect.
• Understand the environment, goals, and objectives of the incumbent's own position, their team, and all internal customers. Demonstrate a thorough understanding of both corporate and division goals and values. Apply corporate, professional, and industry knowledge & insight to all tasks under incumbent's control or influence. Effectively advocate across entire corporation for appropriate positions, processes, and systems which can reasonably be adopted.
• Manage own time and resources across many projects, focusing on quality, time, scope, usefulness, and appropriateness of work. Routinely plan and organize work of less experienced staff. Mentor and assist in development of less experienced staff. Keep manager informed.
• Use effective communication to present information and provide decision support to team members and executive management. Appropriately balance the need for clarity and brevity with the need to fully inform customers of all aspects of a situation which may be material to a decision.
• Represent department's perspectives and needs in cross disciplinary settings. Consistent with the direction and expectations of incumbent's supervisor: evaluate proposals; clearly communicate impacts and issues to both internal and external audiences; and, negotiate appropriate compromises and solutions.
• Other duties as assigned.

EDUCATION

Required

• Bachelor's Degree in Actuarial Science, Mathematics, Statistics or closely related field

Substitutions

• None

Preferred

• None

EXPERIENCE

Required

• 5 - 7 years of Actuary experience in area of specialization

Preferred

• Pursuing FSA exams towards FSA Certification

LICENSES AND CERTIFICATIONS

Required

• Associate of the Society of Actuaries (ASA)

Preferred

• Fellow of the Society of Actuaries (FSA)

SKILLS

• Possesses and applies a comprehensive and in-depth knowledge of actuarial principles, concepts, practices and processes within the field of specialization
• Possesses significant expertise to complete complex assignments and ability to visualize, articulate, and solve complex problems while leading others to complete complex assignments
• Develops, designs, and tests analytic frameworks to solve complex problems using innovative approaches
• Assignments are broad in scope and require depth of knowledge as well as ingenuity and originality.
• Analytical Skills
• Oral & Written Communication Skills
• Problem-Solving

Language (Other than English)

None

Travel Required

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Occasionally

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

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

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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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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