Position Type

Full-Time/Regular

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.

Job Summary:

The Actuarial Analyst I is a key member of the Finance / Actuarial Services team. Under direct guidance and supervision, the Actuarial Analyst I applies knowledge of mathematics, probability, statistics, and principles of business in order to provide assistance and technical support for pricing, reserving, medical economics, financial forecasting, and/or healthcare data analytics. The Actuarial Analyst I 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

Assists in the rate development through analyses of benefit design, rating factors, claims experience, regulatory mandates, admin allocation, and projection of future claim cost

Assists in regulatory rate filings, and prepares data or response for additional inquiries

Assists in the development of 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

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 1 year 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 1 SOA actuarial exams, desired

Competencies, Skills, and Attributes:

Working knowledge of MS Office products, SQL, and SAS or other statistical software

Should be experienced in Microsoft 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

Compensation Range

$61,500- $89,000

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (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.

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

WellSense

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