Highmark Health Acturial Manager, Risk Revenue in Pittsburgh, Pennsylvania



This jobis responsible for overseeing assigned actuarial staff and projects; for hiring and training actuarial staff; providing technical support for other areas such as Product Management & Development, Underwriting & Rating, and Sales; assisting senior management decision makers by providing specialized reports and analysis of data on both a routine and ad hoc basis; and is accountable for developing employees, preparing rate filings, providing actuarial support for financial forecasts, and monitoring financial results.


  • Communicate effectively.

  • Supervise entry-level and mid-level actuarial staff.

  • Prepare rate filings for large group, small group, direct pay, or senior products.

  • Work with Underwriting and Rating, Sales and Product Management and Development to develop and implement appropriate rating strategies for group, direct pay or senior lines of business. Ensure that all strategies are in compliance with rate filings and applicable regulations.

  • Provide advanced support for the claim reserve process.

  • Provide assistance and risk management to the Product Management and Development area for pricing development of new products. Ensure that all new products are financially viable and stable.

  • Determine underlying factors impacting pure premium trends for various products and regions. Monitor trends for use in rating. Identify any shifts in trend and take appropriate pricing actions.

  • Other duties as assigned or requested.



  • Bachelor’s degree

  • 5 or more years of experience in the Actuarial field

  • 2 or more years of management experience and/or experience leading teams and/or projects of varying size and complexity

  • Attainment of the ASA (Associate) designation in the Society of Actuaries

  • Must be committed to pursuing actuarial exams and obtaining Fellowship in the Society of Actuaries


  • Bachelor’s degree in Actuarial Science, Mathematics, or Statistics

  • 7 or more years of actuarial experience

  • Completion of two FSA-level exam components

  • Member of the American Academy of Actuaries


  • Ability to apply extensive knowledge of actuarial methods and procedures

  • Strong supervisory, communication, organization and project management skills

  • In-depth knowledge of one or more of the following: premium rate calculations, required reserves, plan design, trend analysis, rate table construction, actuarial research, or systems development


Does this role supervise/manage other employees?



Is Travel Required?


Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies



Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled