Actuarial Statistician

Summary Provides full scope of Actuarial services to at risk partners, NYS Government programs and co-branded products.  This includes rate development utilizing claim information from all available sources.  Interacts with external and internal customers to develop new products, rates, forecasts and management and the Actuarial and Finance Areas of the company to monitor financial performance.  Provide ROI calculations and analysis to customer including Health Care Affairs.  Supports all necessary regulatory filing to NYSID, NYSDOH and applicable entities.  Proposes and assists in the development of process improvements utilizing system and software applications to full potential.

 

Essential Responsibilities/Accountabilities
Develop rate submissions through analysis of benefit designs and claims history.
Prepare accurate and timely trend forecasts on a quarterly basis.
Work with Finance and Valuation to provide customers with financial and actuarial reports on a periodic basis, including development of unpaid claim liability estimates for various financial statements.
Maintain and provide membership information to the Health Plan and external agencies.
Provide analysis of data to support ROI calculations.
Supports analysis of regulatory changes in determination for the Health Plan impact.
Participates in regulatory changes in determination of the Health Plan impact.
Participates in regulatory/external party audits.
Supports the development and production for provider contracting information reports by product by region.
Develop and assist in development on process improvements and automation within the department.
Prepare product forecasts based on current claims trends and future trend analysis.

 

Minimum Qualifications

BS in Math, Economics, Actuarial Science or allied field.  Good analytical skills with a focus on serving the needs of both internal and external customers. knowledge of financial and risk health arrangements.  Good self-motivation and initiative, as well as an ability to perform under pressure.  Strong PC skills including proficiency in MS Excel, Access, Impromtptu required.  Strong verbal and written communication skills.  Background using Milliman USA Guidelines for health rating strongly desired.  Continued professional growth in Actuarial/Rating and Underwriting fields as evidenced by successful passing of one Actuarial Exam preferred.  Desire to participate in the Actuarial Study Program preferred.