Role Summary

HIGHLIGHTS

This is a multi-level Health actuarial role at Excellus BCBS in Rochester, NY. You'll establish insurance rates, maintain reserves, develop financial projections, and perform risk score analysis. The role supports health plan operations and financial solvency, with increasing complexity and independence across levels I through IV.

JOB DESCRIPTION SUMMARY

Establish insurance rates, rating structures, and rating systems for health plan business
Maintain reserve programs, pricing files, risk score models, and benefit relativity tables
Develop financial projections, risk score analysis, and unpaid claim liability estimates
Required participation in SOA Study Program with exam credential attainment
Hybrid/remote optional with case-by-case decision; based in Rochester, NY

DOMAIN EXPERTISE

Health insurance pricing and reserving
Actuarial analysis for health plan operations
Risk score modelling and financial projections

KEY REQUIREMENTS

Bachelor's degree in a related field
At least 1 SOA exam passed (Level I); up to 6+ for Level IV
Strong analytical, communication, and collaboration skills
Proficiency in Microsoft Office Suite; SQL, SAS, VBA preferred
Prior actuarial or insurance experience required for higher levels

TECH STACK

Excel
PowerPoint

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Establish insurance rates, rating structures, and rating systems for health plan business
Maintain reserve programs, pricing files, risk score models, and benefit relativity tables
Develop financial projections, risk score analysis, and unpaid claim liability estimates
Required participation in SOA Study Program with exam credential attainment
Hybrid/remote optional with case-by-case decision; based in Rochester, NY

DOMAIN EXPERTISE

Health insurance pricing and reserving
Actuarial analysis for health plan operations
Risk score modelling and financial projections

KEY REQUIREMENTS

Bachelor's degree in a related field
At least 1 SOA exam passed (Level I); up to 6+ for Level IV
Strong analytical, communication, and collaboration skills
Proficiency in Microsoft Office Suite; SQL, SAS, VBA preferred
Prior actuarial or insurance experience required for higher levels

TECH STACK

Excel
PowerPoint

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Establish insurance rates, rating structures, and rating systems for health plan business
Maintain reserve programs, pricing files, risk score models, and benefit relativity tables
Develop financial projections, risk score analysis, and unpaid claim liability estimates
Required participation in SOA Study Program with exam credential attainment
Hybrid/remote optional with case-by-case decision; based in Rochester, NY