EmblemHealth · 19 hours ago
Staff Actuaries - Remote - Medicare & Commercial
United States
Full-time
Remote
Senior Level, Lead/Staff
$78K/yr - $149K/yr
5+ years expEmblemHealth is a healthcare company, and they are seeking a Staff Actuary to provide analytical resources for pricing and reserve strategies. The role involves leading projects, coordinating actuarial staff, and analyzing financial performance to improve product offerings.
InsuranceNon ProfitWellness
Hiring Manager
Suzanne Gallagher-Reid, SPHR
Responsibilities
Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses
Identify opportunities to improve product performance in collaboration with all areas of the organization
Oversee the development and filing of premium rates for all products with the appropriate regulatory authority (e.g., CMS, New York Department of Health)
Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs to increase Emblem’s premium revenue for these segments
Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff
Regular attendance is an essential function of the job. Perform other duties as assigned or required
Qualification
Required
Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required
Associate of the Society of Actuaries (ASA) required
5 – 8+ years relevant professional work experience and/or education required
4+ years health insurance actuarial experience, preferably in the managed care industry required
A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required
Ability to communicate effectively with Business leaders required
Expert level skills with database, spreadsheet, and analytical software required
Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required
Capable with data extraction, simulations, automation required
Preferred
Prior management experience (processes and/or staff) preferred
Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred
Company
EmblemHealth
EmblemHealth is an insurance and wellness company that offers health benefits to consumers, employers, and government purchasers.
1001-5000 employees
H1B Sponsorship
EmblemHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (2)
2021 (2)
2020 (4)
Funding
Current Stage
Late StageLeadership Team
M
Michael Collins
Vice President CRM Applications
Recent News
Behavioral Health Business
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2025-12-06
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