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Senior Actuary

Highmark Health
PA, Working at Home - Pennsylvania, United States, United Statesfull_timeVerifiedPosted 14 Jan 2025
💰 $172,500/yr($92,300/yr$172,500/yr)

About the role

Company :

Highmark Inc.

Job Description : 

JOB SUMMARY

This is an individual contributor, credentialed actuary position.  Participates in Highmark's Actuarial Executive Development Program. Utilizes subject matter expertise and advanced industry knowledge to define & diagnose a problem, outline data requirements for a study or analysis, and devise insightful and creative solutions, demonstrating accountability and ownership of results.  Demonstrates broad expertise and ingenuity and will be sought out by others for advice on methodology, strategy, and delivery of results.  Engage, motivate, and mentor less experienced staff and provide decision support to team members while initiating and leading actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers. Effectively advocates across the entire corporation for appropriate positions, processes, and systems which can reasonably be adopted. Displays an ongoing commitment to continuous learning and self-improvement by independently seeking out the use of both internal and external sources. Applies actuarial techniques and statistical analysis to several functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, provider efficiency, provider contracting analysis or claim reserving.

ESSENTIAL RESPONSIBILITIES

  • Independently manage the time and resources of both themselves and others involved in many cross departmental projects.  Demonstrate responsiveness, confidence, and flexibility in the wake of change.  Effectively implement a range of coping mechanisms in the face of adversity.  Anticipate, absorb, adapt to and rapidly recover from a potentially disruptive event.  Thrive in a dynamic, changing environment and approach new challenges with anticipation and a view towards success.  Proactively identify emerging opportunities; establish project objectives, specify strategies, and organize necessary tasks. Keep manager informed.                                                       
  • Utilize subject matter expertise and industry knowledge to define & diagnose a problem.  Outline data requirements for a study or analysis and devise insightful and creative solutions, demonstrating accountability and ownership of results.  Independently initiate and lead the development of complex studies, expert analyses, and presentation materials needed to appropriately inform decision makers.  Uncover the root causes of problems, rejecting superficial explanations.  Review the appropriateness of the results in light of experience and industry knowledge.  Consider alternate explanations or viewpoints before drawing conclusions.  Make appropriate recommendations while understanding the implications and consequences to all stakeholders.                                                         
  • Interact with stakeholders in a manner that fosters cooperation and teamwork while conveying engagement, competence and ownership of outcomes.  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.  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.  Anticipate a customer's needs and proactively crafts message to address. 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.                                                            
  • 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 and take calculated risks to accomplish organizational objectives.  Effectively advocate across entire corporation for appropriate positions, processes, and systems which can reasonably be adopted.                                                    
  • Proactively ensure the internal and external consistency of all work, demonstrating ownership and accou

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Company

Highmark Health

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