Government Programs Actuarial Analyst II

8925 Mass General Brigham Health Plan Holding Company, Inc.; Somerville (MA); Remote; USD 64,000 - 93,000; Full time

Benefits offered by this job

Remote work options

Comprehensive benefits

Career growth opportunities

Job summary

Mass General Brigham Health Plan Holding Company, Inc. is seeking a Government Programs Actuarial Analyst II to serve as a subject-matter expert for Medicare and DSNP lines. You will support valuation, pricing, and forecasting with cross-functional analytics and reporting.

The role emphasizes collaboration with leadership, communication of financial performance, and ensuring deadlines are met. This is a remote, full-time opportunity with a comprehensive benefits package.

Qualifications

• Bachelor’s degree in Mathematics, Statistics or another quantitative discipline required.
• Minimum of 2+ years of full-time actuarial experience in a healthcare or insurance setting.
• At least 1–2 years of healthcare actuarial experience, ideally supporting Medicare Advantage, DSNP, or government programs.

Responsibilities

• Lead monthly reserving process (IBNR and other actuarial accruals) and communicate results to senior leadership.
• Forecast quarterly Medicare and D-SNP metrics including trends and drivers.
• Support Medicare and DSNP bids with data prep, pricing support, and documentation.
• Assist with regulatory and financial reporting including audits and filings.
• Develop actuarial analyses, dashboards, and presentations for performance insights.

Skills

Actuarial experience

Healthcare pricing

SQL

SAS

VBA

Communication skills

Education

Bachelor’s degree in Mathematics/Statistics or quantitative discipline

Tools

Microsoft Office

SQL

SAS

VBA

Job description

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. We offer a comprehensive actuarial development program designed to support continued exam progression, including paid study time, exam reimbursement, and structured salary increases tied to exam achievement. 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 Minimum of 2+ years of full-time actuarial experience in a healthcare or insurance setting At least 1–2 years of healthcare actuarial experience required, ideally supporting Medicare Advantage, DSNP, or government programs

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

Additional Job Details (if applicable)

Working Conditions: This is a remote role that can be done from most US states This is a full-time, Monday through Friday role with 5 eight-hour days Remote workdays require a stable, secure, quiet, and HIPAA-compliant workspace. This will be confirmed via Microsoft Teams video for all employees Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America)

Pay Range $63,648.00 - $92,570.40/Annual Grade 6

In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement: 8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Combat disease. Hold a hand. Help people. Impact the world. Mass General Brigham is a passionate, welcoming community where minds meet caring hearts. Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives. Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.