Job Closed
This listing is no longer active.
Point32Health is a leading not-for-profit health organization formed by a merger between Harvard Pilgrim Health Care and Tufts Health Plan. With the mission of
Actuarial Analyst
Location
Massachusetts
Posted
136 days ago
Salary
$61.9K - $92.8K / year
Seniority
Senior
Job Description
Actuarial Analyst
Point32Health
• Support the analysis and data needs for a broad range of financial and actuarial functions. • Include rate reviews, financial planning and projections, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. • Work closely with a variety of departments including underwriting, sales, contracting, and medical management. • Uses data systems and query tools to complete work projects, primarily by modifying existing code and tools. • Performs basic checks for data consistency, according to defined criteria.
Job Requirements
- College degree required.
- Completion of 1-3 actuarial exams
- 1 – 3 years’ demonstrated experience in analytic work
- Experience in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications
- Well-developed verbal and written skills
- Able to operate in a matrix environment
- Able to follow Actuarial department standards and processes
- Receives regular management oversight of all tasks, projects and processes
- Applies own judgment to limited analytical/technical issues
- Must be able to work cooperatively as a team member.
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
Related Guides
Related Categories
Related Job Pages
More Actuary Jobs
Actuarial Analyst
Blue Cross and Blue Shield of NebraskaBlue Cross and Blue Shield of Nebraska is an independent licensee of the Blue Cross and Blue Shield Association.
• Assists, advises, or consults with the Actuarial Services team and management. • Pulls, studies and analyzes health insurance data. • Maintains and enhances assigned systems and models. • Applies fundamentals of forecasting and financial analysis. • Makes recommendations to stakeholders for informed business decisions. • Demonstrates understanding of intermediate actuarial concepts and the health insurance industry. • Partners with other applicable areas to understand connections and impacts.
• Acting as a critical bridge between data and strategy • Direct the day-to-day activities of the underwriting function • Work in close coordination with the Vice President, Actuary • Ensure technical excellence and operational consistency • Facilitate forums with Finance, Strategy, and Growth teams • Own model assumptions and spearhead AI innovation • Serve as a technical mentor to internal stakeholders • Identify essential process and tooling improvements
Associate Actuary, Risk and Compliance
HumanaLouisville, Kentucky-based Humana is a leading healthcare company that offers a variety of health, wellness, and insurance products and services designed to off
• responsible for the overall management and oversight of actuaries and/or support staff • identifying and managing risks • analyzing potential risks and estimating financial consequences • developing and recommending controls to minimize risks • assessing and communicating information regarding actuarial/business risks across the organization • providing peer review and counsel on company, industry, and regulatory practices • monitoring developments in actuarial techniques and researching applicable laws and regulations • influencing department’s strategy • making decisions on moderately complex to complex issues regarding technical approaches for project components • supporting Humana’s MA-PD and PDP bid filings by ensuring appropriate interpretation and implementation of CMS guidance • participating in CMS audits and reviews related to Humana’s Medicare bids • creating and maintaining process improvements to bid filings
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Why Join Us? - Growth-Oriented Culture: Work with a leadership team committed to innovation and revenue expansion. - Competitive Earning Potential: Base salary plus bonus potential, profit-sharing, and a comprehensive benefits package that rewards expertise and contributions. - Legacy of Excellence: Be part of a well-respected organization with over 30 years of leadership in the insurance industry. - Dynamic Team Culture: Work alongside talented colleagues who are passionate, driven, and committed to success. Benefits - Health, dental, and vision insurance - 401(k) retirement plan options - Profit Sharing - Generous, flexible paid-time-off (PTO) policy Company Description



