Government Programs Actuarial Analyst II

## Government Programs Actuarial Analyst IIApplyremote type:
Hybrid locations:
Somerville-MAtime type:
Full time posted on:
Posted Todayjob requisition :
RQ4065102

Site:
Mass General Brigham Health Plan Holding Company, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
** Job Summary
** Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.
The Government Programs Actuarial Analyst II position will serve as the subject matter expert for the Medicare and Dual Eligible lines of business. Under the supervision and guidance of the Director, Actuarial Reserving, Forecasting & Risk Management Support, this role will support key actuarial functions such as valuation, pricing, and forecasting. The individual will have cross-functional responsibilities to coordinate the analytics and reporting to monitor claims and risk score trends, as well as effectively communicate financial performance to business leadership.
Essential Functions   
-Lead monthly reserving process (IBNR and other actuarial accruals) and communication of financial results and variances to the budget to senior leadership.  
-Support quarterly forecasting of Medicare and D-SNP for Premium Deficiency Reserve calculation, Budget, and Forecast, including analysis of trends, assumptions, and key drivers  
-Contribute to the development and successful completion of Medicare and D-SNP Bid, including data preparation, pricing support, and documentation  
-Support regulatory and financial reporting requirements, including annual external audits, DOI audits, and various recurring Medicare and D-SNP filings  
-Develop and enhance actuarial analyses and reporting, including pricing studies, dashboards, and presentations that provide insights into financial performance, risk factors, and profitability.  
-Monitor and evaluate emerging risks to financial performance, including claims trends and changes in regulations.  
-Collaborate with leadership and cross-functional teams to apply actuarial concepts, deliver high-quality work, and ensure accountability to deadlines and commitments.  
-Perform other duties as assigned with or without accommodation.
** Qualifications
* ** Bachelor’s degree in Mathematics, Statistics or another quantitative discipline (Physics, Engineering, Quantitative Finance, Mathematical Economics, etc.) required
* At least 2-3 years of actuarial analysis experience required
* ** At least 2 years of healthcare-related actuarial experience highly preferred**
* ** Demonstrated knowledge and experience in Medicare and D-SNP highly preferred
******** Knowledge, Skills, and Abilities
*** Proficiency in Microsoft Office, VBA, SQL, and SAS.
* Strong written and oral communication skills, with the ability to convey actuarial concepts to non-technical stakeholders
* Demonstrated knowledge of actuarial concepts, techniques, and methodologies
* Strong understanding of insurance principles,…