EmblemHealth · 1 month ago
Senior Staff Actuary (Large Group)
New York, NY
Full-time
Onsite
Senior Level, Lead/Staff
$93K/yr - $178K/yr
10+ years expEmblemHealth is a healthcare organization seeking a Senior Staff Actuary to provide analytical resources for pricing and reserve strategies. This role involves leading projects to analyze rate structures and coordinating actuarial staff to support affiliate activities.
InsuranceNon ProfitWellness
Responsibilities
Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses
Work collaboratively with all areas of the organization to identify opportunities to improve product performance
Oversee the development and filing of premium rates and/or expected costs with the appropriate regulatory authority (e.g., CMS, New York Department of Health)
Work closely with Risk Adjustment and other areas
Advise and develop direct reports accountable for at least one line of business (e.g. ACA, Large Group, Medicare, Medicaid, SSP), as well as other staff
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 (A.S.A.) required
Member of the American Academy of Actuaries (M.A.A.A.) required
10+ years of relevant, professional work experience and/or education required
6+ years of actuarial experience with ASA; or 5+ years' experience with an FSA required
5+ years health insurance actuarial experience, preferably in the managed care industry required
1+ year of management experience required
Comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required
Knowledge of reimbursement methodologies required
Ability to develop actionable reports for senior management required
Excellent written and oral communication skills to deliver complex information required
Proficiency with MS Office (Work, Excel, Access, PowerPoint, Outlook); data extraction, simulations, automation required
Preferred
Fellow of the Society of Actuaries (F.S.A.) 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
2025-12-10
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2025-12-06
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