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Role Summary

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HIGHLIGHTS

Senior health actuarial analyst focused on pharmacy within a managed care environment. Responsibilities include valuation and forecasting, analysis of hospital/professional/drug claims, and support for product development and pricing. Remote role based in New York; requires an ASA and 4+ years of relevant experience.

JOB DESCRIPTION SUMMARY

Senior actuarial analyst focused on pharmacy and health plan analytics
Perform valuation, forecasting, and analysis of claims and utilization trends
Participate in product development, pricing, filings, and rating implementation
Work remotely; based in New York (role listed as Remote)
Requires ASA and 4–6+ years of relevant professional experience

DOMAIN EXPERTISE

Health insurance actuarial experience (managed care)
Pharmacy claims and utilization analysis
Valuation methodology development and forecasting
Knowledge of reimbursement methodologies
Quarterly close and financial variance analysis

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) required
4+ years of relevant professional experience (4–6+ stated)
1–2+ years health insurance actuarial experience, preferably managed care
Working knowledge of SQL, R, Python (or similar) required
Must sit for a minimum of one actuarial exam per year and meet progress rules

TECH STACK

Excel
PowerPoint

Salary Pro Post a Job

Log in

Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial analyst focused on pharmacy within a managed care environment. Responsibilities include valuation and forecasting, analysis of hospital/professional/drug claims, and support for product development and pricing. Remote role based in New York; requires an ASA and 4+ years of relevant experience.

JOB DESCRIPTION SUMMARY

Senior actuarial analyst focused on pharmacy and health plan analytics
Perform valuation, forecasting, and analysis of claims and utilization trends
Participate in product development, pricing, filings, and rating implementation
Work remotely; based in New York (role listed as Remote)
Requires ASA and 4–6+ years of relevant professional experience

DOMAIN EXPERTISE

Health insurance actuarial experience (managed care)
Pharmacy claims and utilization analysis
Valuation methodology development and forecasting
Knowledge of reimbursement methodologies
Quarterly close and financial variance analysis

KEY REQUIREMENTS

Associate of the Society of Actuaries (ASA) required
4+ years of relevant professional experience (4–6+ stated)
1–2+ years health insurance actuarial experience, preferably managed care
Working knowledge of SQL, R, Python (or similar) required
Must sit for a minimum of one actuarial exam per year and meet progress rules

TECH STACK

Excel
PowerPoint

Job Overview

Salary

$68k - $119k

Years of Experience

4+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Ideal for a Senior health/pharmacy actuarial analyst with an ASA and 4–6 years' managed care experience who is proficient in SQL/R/Python and skilled in valuation and forecasting.

ASA

Benefits

Fresh Role

Premium Window

1d

1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary

$68k - $119k

Years of Experience

4+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Ideal for a Senior health/pharmacy actuarial analyst with an ASA and 4–6 years' managed care experience who is proficient in SQL/R/Python and skilled in valuation and forecasting.

ASA

Benefits

Fresh Role

Premium Window

1d

1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Health/Insurer/IC Level

Senior Actuarial Analyst (Pharmacy)

EmblemHealth•New York, New York, United States•1d ago

RemoteHealth OtherReserving & ValuationRegulatory ReportingProduct Development & Plan Design

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