Actuarial Analyst II

Full-time - Mid Level

Boise, ID

Ambulatory Health Care Services

About the position

Join PacificSource and help our members access quality, affordable care! As an actuarial professional, you will provide actuarial services for all assigned segments of business, ensuring accurate and reliable actuarial activities. Your role will involve assisting in the actuarial analysis of risk, contributing to the attainment of PacificSource's financial and enrollment goals, and providing documented input on decisions impacting risk through various activities. You will work closely with Product Development and Sales, producing reports for management and analyzing claims, enrollment, and other factors to determine appropriate revenue requirements. Your contributions will support rate filing, compliance activities, and overall financial forecasting.

Responsibilities

• Provide support to Product Development and Sales by offering technical expertise regarding rating and benefit evaluation.
• Produce reports for use by Management and appropriate departments within PacificSource, such as Product Development, Provider Network, Health Services, Finance, etc.
• Analyze claims, enrollment, administrative expense, required reserves, trends, and other factors needed to determine appropriate revenue requirements for corporate financial forecasting and other activities.
• Make documented recommendations based on the analysis of information regarding methods to reduce costs.
• Review requirements for and identify information needed to accurately assess various elements of risk, cost, and utilization, and its financial impact upon PacificSource.
• Establish formulas and guidelines for timely and accurate rating of existing and prospective insurance contracts.
• Contribute major deliverables in support of rate filing and bid process and other compliance activities required by various State and Federal law.
• Actively participate as a key team member in department meetings.
• Meet department and company performance and attendance expectations.
• Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
• Perform other duties as assigned.

Requirements

• At least two years actuarial experience required.
• Baccalaureate degree in mathematics, statistics, actuarial science, or a related field.
• Having passed a minimum of four actuarial exams, or having demonstrated equivalent actuarial proficiency, is required.
• Advanced VBA, SAS, or SQL skills required.
• Advanced Microsoft Excel skills required.

Nice-to-haves

• Health actuarial experience preferred.
• Advanced student/near-ASA is preferred but not required.