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Job Details

Actuarial Analyst I

Company name
Boston Medical Center HealthNet Plan

Boston, MA

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The Actuarial Analyst I is a key member of the Finance management team whose responsibility is to conduct analyses to support Operations staff and Finance in developing actuarial models on pricing, medical cost analysis, reserving and financial planning.

Key Functions/Responsibilities:

• Assist in the rate development through analyses of benefit design, rating factors, claims experience, and projection of future claim cost,

• Assist in rate filings to Department of Insurance and prepares data for additional inquiry and requirements of the DOI

• Support analyses of regulatory mandates impact on the projected claim cost

• Assist in the preparation of risk adjustment analyses.

• Participate in external and regulatory audits

• Assist in the development of preliminary reserve estimates for different block of business

• Prepare monthly accruals and timely trend analyses for different block of business

• Assist in developing analyses for financial forecasting , reforecast and other financial projections

• Assist in developing adhoc analytics including modeling of benefit scenarios. Utilizes statistical applications as necessary.

• Responsible for supporting corporate initiatives/projects that require analysis of health plan data.

• Run SAS programs and queries to extract data from database and review to ensure accuracy and validity of data



• Bachelor’s Degree in Mathematics, Actuarial Science, Finance, Economics or related field required.


• 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.

• Successful completion of at least 1 or more Actuarial exams preferred

Competencies, Skills, and Attributes:

• Working knowledge of MS tools, including MS Office products, MS Access, MS Project, SQL and SAS or other statistical software. Should be proficient in Microsoft Excel.

• Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems. Project management skills a plus.

• Strong communications skills, both verbal and written, are required.

Job Location

Boston, Massachusetts, United States

Company info

Boston Medical Center HealthNet Plan
Website :

Company Profile
Boston Medical Center (BMC) HealthNet Plan is a not-for-profit managed care organization serving more than 250,000 members across Massachusetts. The health plan serves members across three product lines: MassHealth, Commonwealth Care, and commercial (Employer Choice/Commonwealth Choice). BMC HealthNet Plan’s MassHealth plan has been named one of the top ten Medicaid health plans in America according to the National Committee for Quality Assurance (NCQA) ’s Medicaid Health Insurance Plan Rankings 2010-2013 and U.S. News/NCQA America’s Best Health Insurance Plans 2009-2010*. The Plan’s MassHealth product has also maintained Excellent Accreditation status from NCQA since first being accredited in 2009.

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