Senior Actuarial Analyst

WellSense Health Plan•Remote,

2h•$88,500 - $128,500•Remote

About The Position

The Senior Actuarial Analyst is a key member of the Finance / Actuarial Services team. With minimum guidance and supervision, the Senior Actuarial Analyst applies knowledge of mathematics, probability, statistics, and principles of business in order to provide assistance and technical support for more extensive rating/pricing, reserving, medical economics, financial forecasting, and/or healthcare data analytics. The Senior Actuarial Analyst works with a team of actuaries to assure a coordinated approach to the actuarial components of health programs, and provides actuarial support to Finance, and/or other departments in the company.

Requirements

Bachelor’s Degree in Mathematics, Actuarial Science, Finance, Economics or related fields
At least 4 years of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis
Commensurate educational experience in related field will be considered
Should be experienced in MS Office products, SQL, and SAS or other statistical software
Should be proficient in Excel
Should be an experienced user of healthcare data
Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems
Ability to work collaboratively with team members and other departments
Strong communications skills

Nice To Haves

A background in managed healthcare, insurance operations
Master’s degree
ASA or FSA

Responsibilities

Analyzes financial, statistical and mathematical data and performs actuarial calculations
Leads or supports the rate development through analyses of benefit design, rating factors, claims experience, regulatory mandates, admin expense allocation, and projection of future claim cost
Leads or supports regulatory rate filings, and prepares data for additional inquiries and requirements
Leads or supports the development of monthly IBNR reserve estimates for different line of business
Prepares monthly accruals and contract settlements for different line of business
Leads or supports financial budget, reforecast and other financial projections
Evaluates and makes recommendations regarding the adequacy of capitation rates from state Medicaid programs or other new program
Leads or assists in risk adjustment analyses and risk score simulations
Leads or supports trend development, trend drivers study, and/or provider contract analytics
Maintains established reports for internal needs or regulatory requirements
Participates in internal and external audits
Participates in requirements gathering for and serves as delegate or backup for corporate initiatives/projects
Generates ideas and analytical approaches for corporate initiatives/projects
Designs or updates SQL/SAS queries and programs to extract data from data warehouse, and reviews the data to ensure accuracy and validity
Serves as data expert for department
Advises Finance department on data warehouse design, requests and works with IT to establish priorities
Initiates and leads efforts to improve quality and efficiency of actuarial models, analyses and reports
Summarizes findings and recommendations, documents the process
Develops presentations and communicates to senior management or external parties
Shares knowledge and provides training to new employees