Senior Actuarial Analyst

Overview

The organization is seeking a Senior Actuarial Analyst to join the Finance / Actuarial Services team. This role provides technical actuarial support for rating/pricing, reserving, medical economics, financial forecasting, and healthcare data analytics. The Senior Actuarial Analyst will partner with a team of actuaries to support a coordinated approach to actuarial components of health programs and provide actuarial support to Finance and other departments.

Responsibilities

• Analyze financial, statistical, and mathematical data and perform actuarial calculations
• Lead or support rate development through analyses of:
  • benefit design
  • rating factors
  • claims experience
  • regulatory mandates
  • admin expense allocation
  • projection of future claim cost
• Lead or support regulatory rate filings, including preparing data for additional inquiries and requirements
• Lead or support the development of monthly IBNR reserve estimates for different lines of business
• Prepare monthly accruals and contract settlements for different lines of business
• Lead or support financial budget, reforecast, and other financial projections
• Evaluate and recommend the adequacy of capitation rates from state Medicaid programs or other new programs
• Lead or assist with risk adjustment analyses and risk score simulations
• Lead or support trend development, trend drivers studies, and/or provider contract analytics
• Maintain established reports for internal needs or regulatory requirements
• Participate in internal and external audits
• Support requirements gathering for corporate initiatives/projects; serve as delegate or backup as needed
• Generate ideas and analytical approaches for corporate initiatives/projects
• Design or update SQL/SAS queries and programs to extract data from the data warehouse; review data for accuracy and validity
• Serve as a data expert for the department
• Advise Finance on data warehouse design, data requests, and priorities with IT
• Initiate and lead efforts to improve the quality and efficiency of actuarial models, analyses, and reports
• Summarize findings and recommendations and document the process
• Develop presentations and communicate results to senior management or external parties
• Share knowledge and provide training to new employees

Qualifications

Education

• Bachelor’s degree in Mathematics, Actuarial Science, Finance, Economics, or related fields

Experience

• At least 4 years of progressively responsible experience in actuarial analysis, data modeling, informatics, and analysis
• Commensurate educational experience in a related field will be considered

Preferred Qualifications

• Background in managed healthcare and/or insurance operations
• Master’s degree
• ASA or FSA

Skills & Competencies

• Proficiency with MS Office products, SQL, and SAS (or other statistical software)
• Proficiency in Excel
• Experience working with healthcare data
• Ability to meet deadlines, multi-task, problem-solve, and use appropriate technology to analyze business problems
• Ability to collaborate with team members and other departments
• Strong communication skills

Compensation & Benefits

• Compensation range: $88,500 - $128,500
• The range is based on minimum job qualifications; actual base pay is determined considering education, experience, skills, certifications/licensure relevant to the role, business/organizational needs, internal equity, and market competitiveness.
• Total compensation includes benefits such as:
  • medical, dental, vision, and pharmacy
  • merit increases
  • Flexible Spending Accounts
  • 403(b) savings matches
  • paid time off
  • career advancement opportunities
  • resources to support employee and family wellbeing
• Note: This range is based on Boston-area data and may be modified based on geographic location.

Location

• Full-time remote work

Equal Employment Opportunity

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or protected veteran status.

The organization participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees.