Overview
This entry-level analyst role is within the Actuarial Department and focuses on supporting the development, enhancement, and maintenance of Medical Cost Action Plan evaluations (MCAPs). The position partners with stakeholders across the organization to analyze health insurance claims and patient utilization data to track actual medical expenses against budgets, identify specific financial leakage points, and support actionable cost-containment initiatives.
Responsibilities
- Perform and support Medical Cost Action Plan evaluations across multiple lines of business
- Assist with forecasting and predictive modeling activities
- Collect, analyze, and interpret data for financial, utilization, and actuarial reporting, including IBNR monitoring and analysis
- Collaborate with business partners and stakeholders to understand reporting needs and provide actionable analytical solutions
- Develop innovative approaches to analyzing and visualizing data to support informed business decisions
- Assist with ad hoc actuarial and analytical projects as assigned
Requirements
- Bachelor’s degree required, preferably in Actuarial Science, Mathematics, Statistics, Data Science, Economics, or a related quantitative field from an accredited college or university
- Master’s degree is a plus
- Zero to two year of actuarial, statistical, healthcare analytics, or related experience required
- Successful completion of at least one Society of Actuaries (SOA) actuarial exam required
Preferred Qualifications
- Progress toward an actuarial credential (ASA) is preferred
- ASA candidate is a plus
- Familiarity with Microsoft Access is preferred
- Basic understanding of actuarial concepts, statistical analysis, and healthcare data
- Knowledge of medical claims, healthcare utilization, and medical terminology is a plus
Knowledge, Skills, and Abilities
- Working knowledge of Microsoft Excel required; familiarity with Microsoft Access preferred
- Experience with SAS, SQL, R, Python, or similar programming and data analysis tools required
- Strong analytical and critical-thinking skills with a high level of attention to detail
- Strong mathematical and statistical problem-solving abilities
- Effective verbal and written communication skills, including the ability to present information clearly to diverse audiences
- Ability to learn quickly, manage multiple priorities, and work independently and collaboratively
- Demonstrated sound judgment and problem-solving capabilities
Compensation & Benefits
Salary Range: $70,500 - $94,395
This compensation range is specific to the job level and takes into account the wide range of factors considered in compensation decisions, including but not limited to education, experience, licensure, certifications, geographic location, and internal equity. Compensation decisions are dependent on the circumstances of each case.
Benefits package includes:
- Comprehensive health benefits (Medical/Dental/Vision)
- Retirement Plans
- Generous PTO
- Incentive Plans
- Wellness Programs
- Paid Volunteer Time Off
- Tuition Reimbursement
Location
Employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.