Company

Geisinger HealthSee more

addressAddressDanville, PA
type Form of workFull-Time
CategoryRetail

Job description

Location:
Work from home (Pennsylvania)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
Yes
Job Summary:
Performs data analytics to provide leadership with strategic business intelligence around financial and operational performance. Analyzes and updates pricing strategies and rating factors for various commercial health insurance lines of business. Compiles claims, enrollment, revenue, and other statistical data to use in assigned projects. With supervision and guidance from senior team members, the analyst conducts data analysis, performs financial modeling and designs reporting to support the Health Plan requirements and initiatives. Participates in the communication of summarized results to stakeholders via written narratives, graphical representations, and presentations. This position may support initiatives for internal or external/government stakeholders and/or strategic business partners.
Job Duties:
  • Prepares rate filings in accordance with associated state and federal regulations.
  • Uses data, actuarial judgement, and external resources to analyze and update rating factors and models utilized by the underwriting department.
  • Provides analytical and technical support for assigned projects using data analysis tools and software.
  • Performs analyses by utilizing a wide-range of quantitative and qualitative data sets, models, and publications (regulations, guidelines, business rules, reporting requirements and standards), as directed.
  • Analyzes data output to identify and interpret trends or patterns in complex data sets.
  • Applies business, statistical, and actuarial concepts (Credibility, Simulation, Frequency, Severity) to help support and enhance decision making.
  • With guidance, synthesizes information to create and deliver clear, precise, and actionable information to stakeholders.
  • This information may be delivered in writing or through verbal summaries and dashboards and reports and presentations.
  • Participates in validation and exchange of data provided to and received from other departments, strategic business partners, or other external parties.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
#LI-REMOTE
Position Details:
Preferred Education/Experience:
  • Bachelor's degree in actuarial sciences or a related field of study such as mathematics or statistics
  • 1 actuarial exam passed
  • Proficient in Excel and experience with VBA and/or SQL
  • Actuarial internship or work experience in health insurance or related field

Education:
Bachelor's Degree-Related Field of Study (Required)
Experience:
Minimum of 1 year-Health Insurance/Managed Care (Required)
Certification(s) and License(s):
Skills:
Actuarial Function, Communication, Computer Literacy, Insurance Finance And Actuarial Concepts, Organizing, Problem Management, Statistics And Actuarial Modeling
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
  • KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
  • EXCELLENCE: We treasure colleagues who humbly strive for excellence.
  • LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
  • INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
  • SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
Refer code: 7413872. Geisinger Health - The previous day - 2023-12-23 14:36

Geisinger Health

Danville, PA
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