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Role Summary

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HIGHLIGHTS

Senior Health actuarial analyst (pharmacy) based in New York. You will analyze hospital, professional and drug claims, develop valuation methodologies, support pricing and product development, and produce forecasts and monitoring. The role requires an ASA, 4+ years of relevant experience, and strong SQL/R/Python and Excel skills.

JOB DESCRIPTION SUMMARY

  • Senior Health actuarial role focused on pharmacy within managed care
  • Analyze hospital, professional, and drug claim/utilization trends
  • Develop valuation methodologies, forecasts, and pricing support
  • Use SQL, R or Python and Excel for data extraction, simulations, automation
  • Based in New York; requires ASA and 4+ years' relevant experience

DOMAIN EXPERTISE

  • Health insurance actuarial experience (managed care)
  • Drug/pharmacy claim and utilization analysis
  • Hospital and professional claim trend analysis
  • Valuation methodology development and forecasting
  • Product development and pricing support

KEY REQUIREMENTS

  • 4+ years of relevant professional work experience (min stated 4 years)
  • 1-2+ years health insurance actuarial experience in managed care required
  • Associate of the Society of Actuaries (ASA) required
  • Must sit for at least one actuarial exam per year and make ongoing progress
  • Working knowledge of SQL, R, Python and advanced Excel required

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Senior Health actuarial analyst (pharmacy) based in New York. You will analyze hospital, professional and drug claims, develop valuation methodologies, support pricing and product development, and produce forecasts and monitoring. The role requires an ASA, 4+ years of relevant experience, and strong SQL/R/Python and Excel skills.

JOB DESCRIPTION SUMMARY

  • Senior Health actuarial role focused on pharmacy within managed care
  • Analyze hospital, professional, and drug claim/utilization trends
  • Develop valuation methodologies, forecasts, and pricing support
  • Use SQL, R or Python and Excel for data extraction, simulations, automation
  • Based in New York; requires ASA and 4+ years' relevant experience

DOMAIN EXPERTISE

  • Health insurance actuarial experience (managed care)
  • Drug/pharmacy claim and utilization analysis
  • Hospital and professional claim trend analysis
  • Valuation methodology development and forecasting
  • Product development and pricing support

KEY REQUIREMENTS

  • 4+ years of relevant professional work experience (min stated 4 years)
  • 1-2+ years health insurance actuarial experience in managed care required
  • Associate of the Society of Actuaries (ASA) required
  • Must sit for at least one actuarial exam per year and make ongoing progress
  • Working knowledge of SQL, R, Python and advanced Excel required

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 actuary focused on pharmacy within managed care who is an ASA with 4+ years' experience and strong SQL/R/Python and Excel skills.

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 actuary focused on pharmacy within managed care who is an ASA with 4+ years' experience and strong SQL/R/Python and Excel skills.

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/Senior Manager Level
EmblemHealth

Senior Actuarial Analyst (Pharmacy)

EmblemHealth•New York, New York, United States•1d ago
Health OtherPricing & RatingReserving & ValuationPredictive Modelling & ML

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