Actuarial Analyst

Overview

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.

Learn more about who we are at Point
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Health.

The Actuarial Analyst I supports the analysis and data needs for a broad range of financial and actuarial functions. This includes rate reviews, financial planning and projections, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. The role collaborates with underwriting, sales, contracting, and medical management. Familiarity with the health insurance industry, relational databases, data warehouses, Excel, and statistical modeling, along with strong interpersonal skills, is required.

The position participates in the Actuarial Student Program, including job rotations every 18-36 months and support toward 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 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
• Other projects and duties as assigned

Education, Certification and Licensure

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

Experience (minimum Years Required)

• 1 – 3 years’ demonstrated experience in analytic work
• 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 follow 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.

• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range
$61,854.06 - $92,781.08

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary will be determined by factors including scope and complexity of the role, skills, education, training, credentials, and experience, as well as internal equity. Colleagues are eligible for variable pay as part of our total rewards program.

Eligibility…