Actuarial Analyst

Wellbe Senior Medical

5h•Hybrid

About The Position

This is a highly unique role at an innovative, fast-growing value-based healthcare company. WellBe began serving its first patients in 2020 and has been growing every year since inception. Because WellBe’s contracts with MA plans are structured as value-based care full risk arrangements, our actuarial department is growing as well. As the fifth actuarial employee, you will be tasked with upkeeping the actuarial function. This job has significant long-term growth opportunities. We are looking for an Actuarial Analyst to join our team and support our actuarial functions. In this role, you will be responsible for updating actuarial financial models [DS1.1], eligibility and claims analyses, utilizing WellBe’s IBNR Model, utilization reporting, revenue analysis and forecasting, coding for data processing, and any other ad-hoc analyses. You will work in partnership with Finance, Reporting, Analytics, and IT/Data Management leadership. The ideal candidate will have strong technical skills including coding and model development, analytical skills, experience in healthcare actuarial analysis, and excellent communication skills.

Requirements

Bachelor’s Degree in Actuarial Science, Mathematics, Statistics, or related field
On track to obtain ASA; passed at least 2 actuarial exams
Minimum 1 year of actuarial experience, preferred 2-4 years
Coding experience
Strong analytical skills, including proficiency in Excel and coding
Excellent communication skills
Detail-oriented with the ability to manage multiple projects and prioritize effectively
Ability to learn and develop skillset needed to work for a value-based care provider
Ability to lift up to 20 lbs.
Ability to stand/sit for extended periods
Visual acuity and fine motor skills
Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future.

Nice To Haves

Preferred healthcare experience

Responsibilities

Technical lead of monthly financial and utilization reporting by leveraging WellBe’s actuarial and financial models
Preliminary analysis of data after monthly collection of data is complete from our data team partners
Develop reasonable actuarial assumptions to forecast membership, claims, and revenue for annual budget
Run queries from WellBe data warehouse to extract summaries feeding financial and utilization reports
Produce reconciliation reports to ensure financial results are consistent with data sources
Summarize why emerging experience has changed in comparison to expectations
Support manager and/or other actuarial analyst in developing actuarial models
Compile reports summarizing emerging experience and trends
Build ad-hoc analyses to assist company leadership in making informed decisions