Government Programs Actuarial Analyst II

Mass General Brigham Health Plan; Somerville (MA); On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Competitive salaries

Flexible work options

Career growth opportunities

Job summary

Mass General Brigham Health Plan is seeking a Government Programs Actuarial Analyst II in Somerville, MA. This full-time, hybrid position will contribute to key actuarial functions such as valuation, pricing, and forecasting. The ideal candidate will have a Bachelor's degree in a quantitative discipline and 2-3 years of actuarial analysis experience, especially in healthcare.

The role includes leading reserving processes, supporting forecasting, and enhancing actuarial analyses. We're committed to equitable employment practices and career growth opportunities for our diverse team.

Qualifications

• 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.

Responsibilities

• Lead monthly reserving process and communicate results to senior leadership.
• Support quarterly forecasting for Premium Deficiency Reserve calculation.
• Contribute to development and successful completion of Medicare and D-SNP Bid.
• Support regulatory and financial reporting requirements.
• Develop and enhance actuarial analyses and reporting.
• Monitor and evaluate emerging risks to financial performance.
• Collaborate with leadership and cross-functional teams.
• Perform other duties as assigned.

Skills

Proficiency in Microsoft Office

VBA

SQL

SAS

Strong written and oral communication skills

Analytical skills

Mathematical and statistical skills

Organizational and time management skills

Education

Bachelor's degree in Mathematics, Statistics or similar

Job description

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 of the Director, Actuarial Reserving, Forecasting & Risk Management Support, this role supports key actuarial functions such as valuation, pricing, and forecasting, and coordinates analytics and reporting to monitor claims and risk score trends, as well as communicate financial performance to business leadership.

Essential Functions

• Lead monthly reserving process (IBNR and other actuarial accruals) and communicate financial results and variances 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 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, products, and pricing concepts.
• Strong analytical and problem‑solving skills, with the ability to interpret complex data and perform quantitative analyses.
• Excellent mathematical and statistical skills, with a keen attention to detail.
• Strong organizational and time management skills, with the ability to manage multiple projects and meet deadlines.

Working Conditions

• This is a hybrid role that requires an on‑site presence at the office at Assembly Row 3x/week.
• This is a full‑time, Monday through Friday role with five 8‑hour days.

Benefits

We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.