Senior Health Actuarial Analyst - Rates & Forecasting

WellSense Health Plan; Boston (MA); Híbrido; USD 89.000 - 129.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, vision benefits

Pharmacy benefits

Flexible Spending Accounts

403(b) matching

Paid time off

Career advancement opportunities

Wellbeing resources

Descripción de la vacante

WellSense Health Plan in Boston, MA is seeking a Senior Actuarial Analyst to join the Finance / Actuarial Services team. The role involves applying mathematics, statistics, and business principles to support rating, pricing, reserving, financial forecasting, and healthcare data analytics under minimal supervision.

You will analyze data, lead rate development, assist regulatory filings, and contribute to IBNR reserves and financial projections, collaborating with multiple departments to improve

Formación

• Bachelor’s degree or commensurate educational experience in related field.
• ASA or FSA designation is preferred.
• Experience in actuarial analysis, data modeling, and healthcare data analytics is required.
• Background in managed healthcare or insurance operations is a plus.

Responsabilidades

• Analyze financial, statistical and mathematical data and perform actuarial calculations.
• Lead or support rate development through analyses of benefit design and claims experience.
• Lead or support regulatory rate filings and data for inquiries.
• Develop monthly IBNR reserve estimates for different lines of business.
• Prepare monthly accruals and contract settlements for different lines of business.
• Support financial budgets, reforecasts, and other projections.
• Evaluate capitation rates for Medicaid programs or other programs.
• Lead or assist risk adjustment analyses and risk score simulations.
• Develop trend analyses and provider contract analytics.

Conocimientos

MS Office

SQL

SAS

Excel

Healthcare data

Educación

Bachelor’s Degree in Mathematics/Actuarial Science/Finance/Economics

ASA or FSA

Herramientas

SQL

SAS

Descripción del empleo

WellSense Health Plan in Boston, MA is seeking a Senior Actuarial Analyst to join the Finance / Actuarial Services team. The role involves applying mathematics, statistics, and business principles to support rating, pricing, reserving, financial forecasting, and healthcare data analytics under minimal supervision.

You will analyze data, lead rate development, assist regulatory filings, and contribute to IBNR reserves and financial projections, collaborating with multiple departments to improve