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Actuary

Highmark Health

Remote · Remote | Working at Home - Pennsylvania, PA | Working at Home - Maryland, US

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About this role

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 • Define & diagnose a problem.  Outline data requirements for a study or analysis and devise insightful and creative solutions. Uncover the root causes of problems and reject superficial explanations.  Review the appropriateness of the results in light of experience and industry knowledge.  Consider alternate explanations or viewpoints before drawing conclusions.                                                    • Initiate and lead the development of studies, analyses, and presentation materials needed to appropriately inform decision makers. Make appropriate recommendations to management across teams both within and outside of the actuarial department while understanding the implications and consequences to all stakeholders.                                                            • Proactively ensure the internal and external consistency of all work.  Use advanced industry knowledge to both perform reasonability checks as well as exceed customer expectations.  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.  Clarify information as needed.                                                   • Take the initiative to utilize internal and external knowledge forums to gain broader industry perspective.  Demonstrate subject matter expertise and as a result is sought out by others for technical input on producing accurate and efficient work.  Promptly and efficiently identify outliers and anomalies in the work of others.                                                              • Exhibit 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.  Use expertise to envision and implement innovative new processes and propose changes to existing processes, leading to improved outcomes that better conform to corporate goals, objectives, and values.  Demonstrate a capacity to shift between “big picture” and “detailed” thinking when analyzing issues and their strategic importance.                                                     • Independently manage own time and resources across many projects.  Demonstrate responsiveness, confidence, flexibility and ability to independently prioritize when shifting from one task to another.  Comfortable in a dynamic, changing environment.  Approach new challenges with anticipation and a view towards success.  Identify emerging opportunities, establish project objectives, specify strategies, and organize necessary tasks. Keep manager informed.                                                   • Interact with stakeholders in a manner that fosters cooperation and teamwork while conveying engagement and competence.  Enhance department influence by providing responsive service and understanding customer needs.  Effectively and confidently present information and provide decision support to team members and executive management. Consider alternate points of view on issues, demonstrating sensitivity to others’ situations.  Maintain positive, productive working relationships despite differing or conflicting situations and personalities.  Correctly interpret direct and indirect messages and verbal and non-verbal behaviors and respond appropriately.                                                            • Engage, motivate, and mentor less experienced staff on a regular basis in a positive manner that fosters teamwork and excellence.  Listen, take direction, accept criticism and feedback and adjust behavior accordingly to improve performance.  Demonstrate flexibility and proactively take on additional work as needed by the team, leading by example.                                                       • Represent department's perspectives and needs in cross disciplinary settings, and negotiate appropriate compromises and solutions in a way that results in effective action.  Tailor work to the needs of direct management and business partners and make recommendations that have an impact beyond their role.  Assume responsibility for own actions and the consequences for actions undertaken and decisions made.                                                 • Other duties as assigned or requested.                                                                                                                                                               ​

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

Substitutions • None

Preferred • None

EXPERIENCE Required • 5 years Actuarial 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 multiple fields or disciplines • 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 framework

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