Senior Actuarial Analyst

Overview

The organization is seeking a Senior Actuarial Analyst to support the Finance / Actuarial Services team. This role applies knowledge of mathematics, probability, statistics, and business principles to provide technical assistance for health program rating/pricing, reserving, medical economics, financial forecasting, and healthcare data analytics. The Senior Actuarial Analyst works with a team of actuaries to ensure coordinated actuarial support across health programs, and provides actuarial input to Finance and other departments.

Responsibilities

• Analyze financial, statistical, and mathematical data; perform actuarial calculations
• Lead or support rate development through analyses of benefit design, rating factors, claims experience, regulatory mandates, admin expense allocation, and projections of future claim costs
• Lead or support regulatory rate filings; prepare 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 driver studies, and/or provider contract analytics
• Maintain established reports for internal needs or regulatory requirements
• Participate in internal and external audits
• Participate in requirements gathering for, and serve as a delegate or backup for, corporate initiatives/projects
• 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, manage data requests, and work with IT to establish priorities
• Initiate and lead efforts to improve the quality and efficiency of actuarial models, analyses, and reports
• Summarize findings and recommendations; document processes
• Develop presentations and communicate 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 insurance operations
• Master’s degree
• ASA or FSA

Skills & Competencies

• Experience with MS Office products, SQL, and SAS or other statistical software
• Proficient in Excel
• Experienced user of healthcare data
• Ability to meet deadlines, multi-task, problem solve, and use appropriate technology to analyze business problems
• Ability to work collaboratively with team members and other departments
• Strong communications skills

Compensation & Benefits

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

Location

• Full-time remote work
• This role is supported with Boston-area compensation data (subject to modification based on geographic location).

Additional Information

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