Actuarial Analyst Senior, Geisinger Health Plan (Eastern United States resident)

• Produces and provides analytical and technical support for assigned projects using data analysis tools and software.
• Performs complex analyses by utilizing a wide-range of quantitative and qualitative data sets, models, and publications (regulations, guidelines, business rules, reporting requirements and standards).
• Analyzes data output to identify and interpret trends or patterns in complex data sets.
• Applies advanced business, statistical, and actuarial concepts (Credibility, Simulation, Frequency, Severity) to help support and enhance decision making.
• Synthesizes information to create and deliver clear, precise, and actionable information to stakeholders.
• Delivers information in writing or through verbal summaries and dashboards and reports and presentations.
• Validates and exchanges data provided to and received from other departments, strategic business partners, or other external parties.
• Develops and maintains technical business rules and documentation for data mart metrics and tables.
• Serves as subject matter expert or data steward in data governance and data quality initiatives to ensure and maintain integrity of the Health Plan data stores.
• Serves as a liaison to all levels of Health Plan staff including leadership, other departments, Medical Directors, external vendors, and business partners as requested to analyze data sets and information.
• Provides technical, analytical and business guidance within actuarial team and across the Health Plan departments as necessary.
• Mentors analysts and/or interns providing guidance as needed.
• Monitors and translates key reimbursement, healthcare reform, and regulation policy issues that may impact the Health Plan.
• Develops detailed recommendations and operational strategies to implement these changes and presents to senior management.

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.

*Relevant experience may be a combination of related work experience and/or Master's degree obtained or Actuarial Exams completed (Master's Degree = 2 years relevant experience, 1 Actuarial Exam = 1 year relevant experience, 3 Actuarial Exams = 2 years relevant experience).