Medicare & Government Programs Actuarial Analyst II

Remote Jobs; United States; Remote; USD 64,000 - 93,000; Full time

Benefits offered by this job

Remote work

Job summary

Mass General Brigham Health Plan Holding Company, Inc. seeks an experienced Actuarial Analyst II for Government Programs. This remote role focuses on Medicare and D-SNP analytics, reserving, forecasting, and regulatory reporting.

Responsibilities include data preparation, pricing support, dashboards, and communicating financial performance to leadership. Requires 2+ years healthcare actuarial experience and a math/Stats degree.

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 required, ideally supporting Medicare Advantage, DSNP, or government programs

Responsibilities

• 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
• 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

Skills

Actuarial concepts

Financial analysis

Communication skills

Statistical methods

Problem solving

Education

Bachelor's degree in Mathematics/Statistics or quantitative discipline

Tools

SQL

SAS

VBA

MS Excel

Job description

Mass General Brigham Health Plan Holding Company, Inc. seeks an experienced Actuarial Analyst II for Government Programs. This remote role focuses on Medicare and D-SNP analytics, reserving, forecasting, and regulatory reporting.

Responsibilities include data preparation, pricing support, dashboards, and communicating financial performance to leadership. Requires 2+ years healthcare actuarial experience and a math/Stats degree.