Job Information
WellSense Actuarial Analyst I/ II in United States
Actuarial Analyst I/ II
WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances.
Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294349)
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
The Actuarial Analyst II is a key member of the Finance / Actuarial Services team. Under direct guidance and supervision, the Actuarial Analyst II applies knowledge of mathematics, probability, statistics, and principles of business in order to provide assistance and technical support for rating/pricing, reserving, medical economics, financial forecasting, and/or healthcare data analytics. The Actuarial Analyst II works with a team of actuaries to assist with the actuarial components of health programs, and provides actuarial support to Finance, and/or other departments in the company.
Our Investment in You:
Full-time remote work
Competitive salaries
Excellent benefits
Key Functions/Responsibilities:
Analyzes financial, statistical and mathematical data and performs actuarial calculations
Develops premium rates through analyses of benefit design, rating factors, claims experience, regulatory mandates, admin expense allocation, and projection of future claim cost
Prepares regulatory rate filings, and data or response for additional inquiries
Develops monthly IBNR reserve estimates for different line of business
Prepares monthly accruals and contract settlements for different line of business
Assists in financial budget, reforecast and other financial projections
Assists in risk adjustment analyses and risk score simulations
Supports trend development, trend drivers study, and/or provider contract analytics
Maintains established reports for internal needs and/or regulatory requirements
Participates in internal and external audits
Provides analytic support for corporate initiatives/projects
Executes SQL/SAS queries and programs to extract data from data warehouse, and reviews the data to ensure accuracy and validity
Summarizes findings and recommendations, and documents the process
Shares knowledge and provides training to new employees
Is a participant in good standing in the Actuarial Student Program, and is committed to completing the Society of Actuaries education courses to attain the ASA or FSA designation
Qualifications:
Education:
- Bachelor’s Degree in Mathematics, Actuarial Science, Finance, Economics or related fields
Experience:
At least 2 years of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis
Commensurate educational experience in related field will be considered
Successful completion of at least 3 or more SOA actuarial exams, preferred
A background in managed healthcare, insurance operations, preferred
Competencies, Skills, and Attributes :
Should be experienced in MS Office products, SQL, and SAS or other statistical software
Should be experienced or proficient in Excel
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
Good communications skills
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.WellSense is committed to the diversity and inclusion of staff and their members.
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. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294349)
Important info on employment offer scams:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not reach out to individuals via text, we do not ask or require downloads of any applications, or “apps”, and applicant screenings, interviews and job offers are not conducted over text messages or social media platforms. We do not ask individuals to purchase equipment for, or prior to employment. To avoid becoming a victim of an employment offer scam, please followthese tips from the FTC (https://consumer.ftc.gov/consumer-alerts/2023/01/looking-job-scammers-might-be-looking-you?utm_source=govdelivery) .