Sr Actuarial Analyst

Tide @ Harvard Pilgrim Health Care Institute - Boston, MA

Full-time - Mid Level

Remote - Boston, MA

About the position

The Senior Actuarial Analyst at Point32Health will play a crucial role in supporting Medicare Part C Pricing work, focusing on pricing, rate filing development, strategic analysis, and collaboration with various business partners. This position is designed for individuals with a strong understanding of the health insurance industry and proficiency in Excel and statistical modeling, and it offers opportunities for professional growth through the Actuarial Student Program.

Responsibilities

• Support the preparation, analysis, and submission of Medicare Advantage bids, ensuring compliance with CMS regulations.
• Maintain current models to assist with the bid pricing process and develop new models as needed.
• Create code to pull in data needed for various models.
• Validate and audit the data to ensure accuracy.
• Collaborate with business partners, including finance and product development, to support strategic decisions.
• Work on projects focused on the Medicare Preferred population to provide competitively priced Medicare products.

Requirements

• College degree required
• 4+ years of experience in actuarial analysis
• 3+ actuarial exams completed
• Demonstrated experience in analytic project design and building complex technical applications
• Proficiency in MS Excel and statistical packages such as SAS
• Solid understanding of SQL is a plus
• Well-developed verbal and written communication skills
• Ability to facilitate planning and review sessions
• Able to operate in a matrix environment and implement actuarial standards
• Mentoring and training skills for junior staff
• Ability to manage time effectively and communicate progress to management.

Nice-to-haves

• Experience with relational databases
• Familiarity with Medicare Advantage products
• Experience in a health insurance environment

Benefits

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health