Point32Health - Boston, MA

posted 26 days ago

Full-time - Mid Level
Remote - Boston, MA
Insurance Carriers and Related Activities

About the position

The Senior Actuarial Analyst at Point32Health will support the Medicare Part C Pricing work, focusing on pricing, rate filing development, strategic analysis, and collaboration with various business partners. This role is essential in ensuring compliance with CMS regulations and involves maintaining and developing pricing models to meet the needs of the Medicare Preferred population.

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 and validate the data for accuracy.
  • Collaborate with business partners, including finance and product development, to provide support for strategic decisions.

Requirements

  • College degree required
  • 4+ years experience in actuarial or related field
  • Completion of 3+ actuarial exams
  • Demonstrated experience in analytic project design and building complex technical applications
  • Proficiency in MS Excel and statistical packages such as SAS; understanding of SQL is a plus
  • Well-developed verbal and written communication skills
  • Ability to package and present results to business leaders
  • Ability 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 Medicare Advantage pricing
  • Fellowship in the Society of Actuaries or progress towards it
  • Experience in health insurance industry

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
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