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Job Details

Actuarial Analyst II

Boston, MA

Date Last Verified
Jul 06,2018

Posted on
Jul 05,2018

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The Actuarial Analyst II 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:

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

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

  • Prepare analysis of regulatory mandates impact on the projected claim cost

  • Support in the preparation of risk adjustment analyses.

  • Participate in external and regulatory audits.

  • Analyze reserves and provide recommendations on reserves for various block of business

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

  • Develop analyses for financial forecasting , reforecast and other financial projections

  • Responsible for ad hoc analytics including modeling of benefit scenarios. Utilizes statistical applications as necessary.

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

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

  • Run risk sharing simulation and provides summary of the results

  • Serve as data expert for department. Advises Finance department on data warehouse design, requests and works with IT to establish priorities

  • Initiate and lead efforts to continually improve data quality and efficiency of various analyses and reporting

  • Share knowledge and provide training to new employees

  • Draw together various facts and inputs from various resources and summarize and present the information

  • Reconcile and validate data from warehouse with Corporate Finance


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

    • Proficiency working with formulas, calculations, charts, graphs in MS Excel

    • Successful completion of at least 2 or more Actuarial exams preferred


    • 2-4 years of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis. Commensurate educational experience in related field will be considered.

  • A background in managed healthcare, insurance operations preferred

    • The Actuarial Analyst II is an experienced user of claims data.

    • 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.

    • Analyst integrates external grouping methodologies such as DRG, ETG and DxCG in analytics.

    • Experience in building Actuarial models using Excels, SAS and or SQL

    Required Skills

Required Experience

Job Location

Boston, US-MA

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