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Healthfirst Manager, Actuarial Services in Hybrid, New York

The Manager Actuarial Services Trend is responsible for managing actuarial analysis, modeling, and deliverables related to Medical Trend across all Healthfirst lines of business, as outlined in the scope of responsibilities.

Scope of Responsibilities:

  • Build and maintain models for analyzing historical medical trend which normalize for impacts of seasonality, fee schedules, benefits, population changes, etc.

  • Monitor and interpret drivers of medical trend separating unit cost, utilization, mix, severity, etc.

  • Track and assess industry trend resources, where applicable.

  • Partner with other teams to align on emerging trends and insights.

  • Develop projection trend assumptions/factors, including model and method development, to support other actuarial functions such as reserving, forecasting, and pricing.

  • Participate in monthly close meetings, Quarterly Business Reviews, and Annual Budget on topics related to explaining medical trend experience, drivers, assumptions, and projections.

  • Manage and direct staff as appropriate.

Required Qualifications:

  • Bachelors degree in actuarial science, Math, Economics, Finance or any related degree

  • Experience in the actuarial field related to Medical Trend

  • Experience working with medical claims codes and datasets

  • Experience with programming/coding, preferably SAS, SQL, or Python

  • Ability to collect, analyze and summarize qualitative/quantitative data

Preferred Qualifications:

  • ASA (Associate, Society of Actuaries) membership

  • MAAA(Member, American Academy of Actuaries) membership

  • Prior workexperience managing one or more staff

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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