Company :Highmark Inc.Job Description : 

JOB SUMMARY

This job prepares, performs, and analyzes actuarial studies.  Utilizes existing processes and applies actuarial techniques and statistical analysis to at least one of several functions, such as insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, and claim reserving.

ESSENTIAL RESPONSIBILITIES

Develop queries to obtain data that is appropriate to the purpose with minimal assistance and oversight.Develop studies, analyses, and presentation materials needed to appropriately inform decision makers.  Seek input and assistance as required to ensure actuarial work, analyses, and materials are appropriate.Proactively ensure the internal and external consistency of all work.  This includes (and is not limited to): ensuring input data is correct and appropriately entered, verifying that numbers add up, confirming formulas are correct, and demonstrating consistency with control totals.Understand the environment, goals, and objectives of the incumbent's own position, their team, and the internal customers with whom the incumbent regularly works.  Check in with immediate manager to ensure own assignments are carried out in a manner that's consistent with team and customer goals.Manage own time and resources across projects, focusing on quality, time, scope, usefulness, and appropriateness of work.  Carry out recurring projects with minimal assistance and oversight.  Keep manager informed.Interact with customers in a manner that fosters cooperation, teamwork, and influence while conveying engagement and competence.  Enhance department influence by providing responsive service and understanding customer needs.Develop and maintain positive relationship with others.  Listen, take direction, accept criticism and feedback to improve performance.  Perform assigned tasks and alert manager when there's down time.  Proactively take on additional work as needed by the team.Other duties as assigned.

EDUCATION

Required

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

Substitutions

None

Preferred

None

EXPERIENCE

Required

0 - 3 years in an Actuarial role1 Exam Component

Preferred

2 Exam Components

LICENSES AND CERTIFICATIONS

Required

None

Preferred

None

SKILLS

Possesses and applies fundamental knowledge of actuarial principles, concepts, practices and processes within a specific field or disciplinePossesses and builds upon foundational analytical skillsAnalytical SkillsOral & Written Communication SkillsProblem-Solving

Language (Other than English)

None 

Travel Required

0%  - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Does Not Apply

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required 

Yes

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Never

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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