Note: The job is a remote job and is open to candidates in USA. WellSense Health Plan is a growing regional health insurance company with a 25-year history of providing health insurance that works for their members. The Actuarial Analyst I will provide assistance and technical support for pricing, reserving, medical economics, financial forecasting, and healthcare data analytics while working with a team of actuaries.
Responsibilities
- Analyzes financial, statistical and mathematical data and performs actuarial calculations
- Assists in the rate development through analyses of benefit design, rating factors, claims experience, regulatory mandates, admin allocation, and projection of future claim cost
- Assists in regulatory rate filings, and prepares data or response for additional inquiries
- Assists in the development of monthly IBNR reserve estimates for different line of business
- Prepares monthly accruals and contract settlements for different line of business
- Assists in financial budget, reforecast and other financial projections
- Assists in risk adjustment analyses and risk score simulations
- Supports trend development, trend drivers study, and/or provider contract analytics
- Maintains established reports for internal needs and/or regulatory requirements
- Participates in internal and external audits
- Provides analytic support for corporate initiatives/projects
- Executes SQL/SAS queries and programs to extract data from data warehouse, and reviews the data to ensure accuracy and validity
- Is a participant in good standing in the Actuarial Student Program, and is committed to completing the Society of Actuaries education courses to attain the ASA or FSA designation
Skills
- Bachelor's Degree in Mathematics, Actuarial Science, Finance, Economics or related fields
- At least 1 year of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis
- Commensurate educational experience in related field will be considered
- Working knowledge of MS Office products, SQL, and SAS or other statistical software
- Should be experienced in Microsoft Excel
- Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems
- Ability to work collaboratively with team members and other departments
- Good communications skills
- Successful completion of at least 1 SOA actuarial exams, desired
Benefits
- Medical
- Dental
- Vision
- Pharmacy
- Merit increases
- Flexible Spending Accounts
- 403(b) savings matches
- Paid time off
- Career advancement opportunities
- Resources to support employee and family wellbeing
Company Overview
A nonprofit health plan serving Medicare, Individual & Family, and Medicaid plan members in Massachusetts & New Hampshire. It was founded in 1997, and is headquartered in Boston, Massachusetts, US, with a workforce of 1001-5000 employees. Its website is https://wellsense.org.Company H1B Sponsorship
WellSense Health Plan has a track record of offering H1B sponsorships, with 1 in 2025, 8 in 2024, 2 in 2023, 2 in 2021, 1 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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