Actuarial Analyst II

Who We Are Point
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Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point
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Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are.

We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

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

The position is eligible to participate in the Actuarial Student Program, including job rotations every 18-36 months and comprehensive support of the pursuit of Fellowship in the Society of Actuaries.

Job Description

Key Responsibilities /Duties – what you will be doing (top five):

Planning, Design, Project/Process Management Performs analytic project work assigned by manager with minimal supervision

Develops analytic project plan to meet defined objectives

Technical Analysis Uses Health plan data systems and query tools to complete work projects, developing new code and tools to meet objectives

Checking/Validation/Peer Review Develops criteria to validate results in light of prior expectations; investigate unusual results and offers explanations

Analysis/Interpretation Examines and interprets results in the context of the specific business questions being addressed

Identifies new questions and/or unforeseen data complexities arising from results and takes steps to address them Communication/Presentation of Results Packages results to demonstrate how the analysis meets project objectives

Other projects and duties as assigned.

Qualifications – what you need to perform the job Education, Certification and Licensure College degree required.

Completion of 2-4 actuarial exams

Experience (minimum years required):2 - 4 years of responsible healthcare actuarial / analytic experience

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

Skill Requirements Well-developed verbal and written skills

Able to operate in a matrix environment

Able to implement Actuarial department standards and processes

Receives regular management oversight of all tasks, projects, and processes

Applies own judgment to limited analytical/technical issues

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 packages, spreadsheet and/or database applications

Well-developed verbal and written skills

Ability to facilitate planning and review sessions

Developing presentation skills, presents mostly within department and to project teams

Receives regular management oversight of selected tasks, projects, and processes

Increasingly applies own judgment to analytical/technical issues

Must be able to work cooperatively as a team member.

Regular interface with various levels of staff and management is required as well.

Working Conditions and Additional…