Senior Actuarial Analyst

Who We Are

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. 

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Sr Actuarial Analyst independently conducts analysis and data development activities, and guides the work of junior staff, for a broad range of financial and actuarial functions including product pricing and rate reviews, financial planning and forecasting, trend analysis, product development, provider reimbursement analysis, provider risk andanalysis. This is a senior analytical and technical position and as such must be able to perform independently and execute and/or oversee all the analytical and technical tasks required to take a project from inception to conclusion. This role will work closely with one or more departments including Underwriting, Sales, Provider Partnerships, Health Care services and Government Affairs. A thorough understanding of the health insurance industry with 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

Key Responsibilities/Duties – what you will be doing (top five):

• Performs analytic project work assigned by manager with minimal supervision
• Develops analytic project plan to meet defined objectives
• Facilitates planning and review sessions
• Collaborates with manager in defining project objectives, and design components of larger projects
• May manage one or more large projects
• Uses Healthplan data systems and query tools to complete work projects, developing new code and tools to meet objectives
• Designs and builds technical processes to address business issues
• Provides input into and/or help structure program code for more junior staff
• Develops criteria to validate results in light of prior expectations
• Investigate unusual results and offers explanations
• 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
• Integrates information from multiple sources to interpret results in larger business context
• Packages results to demonstrate link between analysis and broad business context
• Other projects and duties as assigned.

Qualifications – what you need to perform the job

Education, Certification and Licensure

• College degree in related field or equivalent education/training
• 4+ Actuarial exams

Experience (minimum years required):

• 4+ years of related and progressively responsible experience
• Management: Experience mentoring or training others
• Analytic: Demonstrated experience in analytic project design
• Technical: Proficiency in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications

Skill Requirements

• Ability to design and build complex technical applications
• Communication/Presentation skills
• Well-developed verbal and written skills
• Ability to facilitate planning and review sessions;
• Solid presentation skills; presents to senior level department management
• Negotiation/Leadership skills
• Able to operate in a matrix environment
• Able to implement Actuarial department standards and processes
• Able to identify issues and roadblocks and participate in their resolution
• Independence/Judgment
  • Receives regular management oversight of selected projects and proce