Pittsburgh, Pennsylvania

**Company :**

Highmark Inc.

**Job Description :**

**JOB SUMMARY**

This SOA-certified actuarial position initiates and leads the development of actuarial studies and analyses, making appropriate recommendations to senior management. As a senior-level individual contributor, the incumbent will provide direction to junior team members and will represent the department's perspectives and needs in cross disciplinary settings, negotiating appropriate compromises and solutions. The incumbent will have the opportunity to explore traditional actuarial work (including premium and pricing development, claim trend analysis, claim reserving, experience studies, medical economics, and profitability analysis) as well as non-traditional actuarial work (to include value based reimbursement, care pathway analytics, provider analysis, wellness studies, network design, and predictive analytics) through Highmark’s robust Actuarial Executive Development & Rotation Program.

**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.

**MINIMUM QUALIFICATIONS**

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

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

+ Associate of the Society of Actuaries (ASA)

**PREFERRED QUALIFICATIONS**

+ Pursuing FSA exams towards FSA Certification

+ 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

**Travel Required:** 0% - 25%

**Referral Bonus:** Level 4

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, 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, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity ( http://www1.eeoc.gov/employers/upload/eeoc\_self\_print\_poster.pdf )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

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

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J161336

Pittsburgh, Pennsylvania

Invest in yourself by becoming part of the Highmark Health enterprise! Build and grow your career with the tools and resources you need to be successful in our innovative and transformational environment. From new hire training to advanced education opportunities, career planning is a continuous journey that leads to your personal and professional growth and our success.

Whether your focus is nursing, information technology, actuarial, finance, marketing, sales, operations or one of our many other professions, our companies offer opportunities to develop and expand your career while making health care accessible, understandable and affordable for our millions of members, patients and customers.

Similar jobs