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[Remote] Actuarial Analyst I

Remote · USA Full-time New today

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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