Actuarial Analyst II

4 weeks ago


Springfield, United States PacificSource Full time
Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Provide actuarial services for all assigned segments of business. Responsible for accurate and reliable actuarial activities. Assist in actuarial analysis of risk, resulting in the attainment of PacificSource's financial and enrollment goals. Work to increase enrollment and maintain a strong financial position. Provide documented input on decisions which impact the risk assumed through various current or proposed activities.

The core duties of Actuarial Analyst II include the following:
  • Analyze claims, enrollment, administrative expense, required reserves, trends, and other factors needed to determine appropriate revenue requirements for corporate financial forecasting and other activities.
  • Make documented recommendations based on the analysis of information regarding methods to reduce costs.
  • Review requirements for and identify information needed to accurately assess various elements of risk, cost, and utilization, and its financial impact upon PacificSource.
  • Establish formulas and guidelines for timely and accurate rating of existing and prospective insurance contracts.
  • Contribute major deliverables in support of rate filing and bid process and other compliance activities required by various State and Federal law.
  • Provide support to Product Development and Sales by offering technical expertise regarding rating and benefit evaluation.
  • Produce reports for use by Management and appropriate departments within PacificSource, such as Product Development, Provider Network, Health Services, Finance, etc.
  • Work to identify and define problems, design and then implement solutions, and further monitor results, in a continuous cycle.
  • Actively participate as a key team member in department meetings.
  • Utilize VBA, SAS, or SQL to gather informative data from raw data set.
  • Apply advanced knowledge of Microsoft Excel to analyze data and build models for required projects.
  • Apply principles of actuarial concepts while working to employ established procedures.

Requirements:

Bachelor's degree in Mathematics, Statistics, Actuarial Science, or a related field.

Must have passed a minimum of four actuarial exams, or, must have passed a minimum of two actuarial exams with a third and fourth exam (counting SOA approved VEE transition rules crediting exams) posted to SOA transcript within one year of onboarding.

In addition, a minimum of one year's experience in each of the following:
  • Advanced VBA, SAS, or SQL skills
  • Advanced Excel skills
  • Actuarial concepts and established procedures


Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Group Problem Solving, Listening (active), Organizational skills/Planning and Organization, Teamwork

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internally and externally.
  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
  • We encourage creativity, innovation, and the pursuit of excellence.


Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

  • Springfield, United States Horace Mann Full time

    This position will be hybrid out of Springfield, IL; Madison, WI; or remote.Would you like to be a part of a company with a passion for helping people? As a leading financial services company focused on meeting the evolving need of public K-12 teachers, Horace Mann is growing rapidly and we have a number of exciting positions available right now including...

  • Actuarial Manager

    1 week ago


    Springfield, United States PacificSource Health Plans Full time

    Profile SummaryProvide actuarial services for all government lines of business. Ensure sound actuarial analysis of risk, resulting in the attainment of PacificSource’s financial and enrollment goals. Work with VP to manage development and implementation of rating models for Medicare and Medicaid business. Provide documented input on decisions which impact...

  • Actuarial Manager

    7 days ago


    Springfield, United States PacificSource Health Plans Full time

    Profile SummaryProvide actuarial services for all government lines of business. Ensure sound actuarial analysis of risk, resulting in the attainment of PacificSource’s financial and enrollment goals. Work with VP to manage development and implementation of rating models for Medicare and Medicaid business. Provide documented input on decisions which impact...

  • Assistant Actuary I

    4 weeks ago


    Springfield, Illinois, United States American National Insurance Company Full time

    Job PostingWe are seeking an Assistant Actuary I for our Commercial Lines Farm Pricing team. In this position, you will perform and communicate complex actuarial analyses related to farm product pricing including but not limited to rate impacts, factor analyses and other data analyses as assigned. This position will also have the opportunity to be involved...

  • Assistant Actuary I

    3 weeks ago


    Springfield, Illinois, United States American National Insurance Company Full time

    Job PostingWe are seeking an Assistant Actuary I for our Commercial Lines Farm Pricing team. In this position, you will perform and communicate complex actuarial analyses related to farm product pricing including but not limited to rate impacts, factor analyses and other data analyses as assigned. This position will also have the opportunity to be involved...

  • Assistant Actuary I

    3 weeks ago


    Springfield, United States American National Insurance Company Full time

    Job PostingWe are seeking an Assistant Actuary I for our Commercial Lines Farm Pricing team. In this position, you will perform and communicate complex actuarial analyses related to farm product pricing including but not limited to rate impacts, factor analyses and other data analyses as assigned. This position will also have the opportunity to be involved...

  • Assistant Actuary I

    4 weeks ago


    Springfield, United States American National Insurance Company Full time

    Job PostingWe are seeking an Assistant Actuary I for our Commercial Lines Farm Pricing team. In this position, you will perform and communicate complex actuarial analyses related to farm product pricing including but not limited to rate impacts, factor analyses and other data analyses as assigned. This position will also have the opportunity to be involved...


  • Springfield, United States American National Insurance Company Full time

    Job PostingWe are seeking an Assistant Actuary I for our Commercial Lines Farm Pricing team. In this position, you will perform and communicate complex actuarial analyses related to farm product pricing including but not limited to rate impacts, factor analyses and other data analyses as assigned. This position will also have the opportunity to be involved...

  • Healthcare Analyst Ii

    2 months ago


    Springfield, United States Health New England Full time

    **Summary**: The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare Analyst II serves a...


  • Springfield, United States Health New England Full time

    **Summary**: The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare Analyst II serves a...

  • Healthcare Analyst II

    2 months ago


    Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionSummary:The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare...

  • Healthcare Analyst II

    2 months ago


    Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionSummary:The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare...

  • Healthcare Analyst II

    1 month ago


    Springfield, United States Health New England Full time

    Summary: The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare Analyst II serves a variety...

  • Healthcare Analyst II

    2 weeks ago


    Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionSummary:The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare...

  • Healthcare Analyst II

    3 weeks ago


    Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionSummary:The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare...

  • Healthcare Analyst II

    3 weeks ago


    Springfield, United States Health New England Full time

    Summary: The Healthcare Analyst II is a senior analytics role responsible for supporting healthcare operational and strategic decision-making through the use of standardized analytics (descriptive and predictive), analysis, and robust program evaluation. Using appropriate industry standard processes and techniques, the Healthcare Analyst II serves a variety...


  • Springfield, United States Health New England Full time

    Job DescriptionJob DescriptionThis position is responsible for maintaining and adhering to internal controls, ensuring compliance with applicable laws and regulations, and following Health New England’s entity level policies and procedures. The position is responsible for reporting unethical or fraudulent activity related to business operations and...


  • Springfield, United States Caring Health Center Full time

    General Description: Under the Health Information Systems & Technology Project Manager, the Health Information (HI) Systems Analyst (II) will serve as the clinical information systems subject matter expert. This role will support the management and performance of all health information data and health information systems/applications, with a primary focus...


  • Springfield, United States Caring Health Center Full time

    General Description: Under the Health Information Systems & Technology Project Manager, the Health Information (HI) Systems Analyst (II) will serve as the clinical information systems subject matter expert. This role will support the management and performance of all health information data and health information systems/applications, with a primary focus...


  • Springfield, Illinois, United States CoxHealth Full time

    Summary Successful candidates will have strong analytical and data extraction skills with SQL knowledge. Additionally, the ability to handle requests and work with operational departments with little guidance and data analysis together is usable reporting. Best in Class Work Environment 5x Modern Healthcare Best Places to work America's Greatest Workplaces...