Actuarial Analyst II

About the role

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health 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.

Job Summary

This role supports a broad range of financial and actuarial functions, including 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 works closely with departments such as underwriting, sales, contracting, and medical management. An understanding of the health insurance industry, 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

• 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 Healthplan 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; investigates 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

Qualifications

• Education, Certification and Licensure

• College degree required
• Completion of 2-4 actuarial exams preferred

• Experience (minimum Years Required)

• 2 - 4 years of responsible healthcare actuarial / analytic experience

• 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
• Able 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

Working Conditions and Additional Requirements

• 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
• Fast paced office environment
• Works on personal computer approximately 70% of the time
• Must be able to exercise appropriate judgment, as necessary
• Open cubicle work setting with personal computer
• May be required to work additional hours beyond standard work schedule

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 for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage, Retirement plans, Paid time off, Employer-paid life and disability insurance with additional buy-up coverage options, Tuition program, Well-being benefits, Full suite of benefits to support career development, individual & family health, and financial health. For more details on our total rewards programs, visit here.

Disclaimer

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 $78,971.97 - $118,457.95 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 for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage, Retirement plans, Paid time off, Employer-paid life and disability insurance with additional buy-up coverage options, Tuition program, Well-being benefits, Full suite of benefits to support career development, individual & family health, and financial health. For more details on our total rewards programs, visit here. Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org. VEVRAA Federal Contractor. We request Priority Protected Veteran & Disabled Referrals for all of our locations within the state. PDN-a242eb6f-1222-430b-aeab-a6c5c40609d2