Actuarial Analyst

Job DescriptionJob Description

Job Summary

Conduct analysis and data development for a broad range of financial and actuarial functions. This support will include rate reviews, financial planning and projections, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. This role will work closely with a variety of departments including underwriting, sales, contracting, and medical management.

An understanding of the health insurance industry as well as proficiency in relational databases, data warehouses, Excel, and statistical modeling as well as strong interpersonal skills are required.

Key Responsibilities/Duties – what you will be doing

Support the analysis and data needs for a broad range of financial and actuarial functions. This support will include rate reviews, financial planning and projections, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. This role will work closely with a variety of Point32Health departments including underwriting, sales, contracting, and medical management.

Familiarity with the health insurance industry as well as experience in relational databases, data warehouses, Excel and statistical modeling as well as strong interpersonal skills are required.

The position is eligible to participate in the Actuarial Student Program, including job rotations every 18-24 months and comprehensive support of the pursuit of Fellowship in the Society of Actuaries.

Planning, Design, Project/Process Management

• Performs analytic project work assigned by manager
• Provides input into analytic project plan development

Technical Analysis

• Uses Point32Health data systems and query tools to complete work projects, primarily by modifying existing code and tools

Checking/Validation/Peer Review

• Performs basic checks for data consistency, according to defined criteria

Analysis/Interpretation

• Examines and interprets results in the context of the specific business questions being addressed

Communication/Presentation of Results

• Packages results to demonstrate how the analysis answers identified questions

Qualifications – what you need to perform the job

Education, Certification and Licensure

• College degree required.
• Completion of 1-3 actuarial exams

Experience (minimum years required):

• Experience in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications

Skill Requirements

• Able to implement Actuarial department standards and processes
• Receives regular management oversight of all tasks, projects, and processes
• Must be able to work cooperatively as a team member.
• Demonstrated experience in analytic work
• Proficiency in the use of personal computers, relational databases, statistical
• Must be able to work cooperatively as a team member.
• Regular interface with various levels of staff and management is required as well.

Commitment to Diversity, Equity & Inclusion

Point32Health is committed to making diversity, equity, and inclusion part of everything we do—from product design to the workforce driving that innovation. Our DEI strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

This job has been posted by Ignyte AI on behalf of Point32Health. Ignyte AI is committed to the fundamental principle of equal opportunity and equal treatment for every prospective and current employee. It is the policy of Ignyte AI not to discriminate based on race, color, national or ethnic origin, ancestry, age, religion, creed, disability, sex and gender, sexual orientation, gender identity and/or expression, military or veteran status, or any other characteristic protected under applicable federal, state or local law.

Req ID: R8223

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