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Senior Actuarial Analyst - Medical Economics

Watertown, MA

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Senior Actuarial Analyst - Medical Economics Job Description
Independently conduct analysis and data development, and guide the work of junior staff, for a broad range of financial and actuarial functions including product pricing and rate reviews, financial planning and forecasting, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. This is a senior analytical and technical position and as such must be able to perform independently and execute and/or oversee all the analytical and technical tasks required to take a project from inception to conclusion. This role will work closely with one or more THP departments including underwriting, sales, contracting, finance and clinical services.
A thorough understanding of the health insurance industry with proficiency in relational databases, data warehouses, Excel, and statistical modeling, as well as strong interpersonal skills, are required.
The position is eligible to participate in the Actuarial Student Program, including job rotations every 18-24 months and comprehensive support of the pursuit of Fellowship in the Society of Actuaries.
* College degree required
* 4 years experience
* 4 exams
Skill requirements (include complexity of position):
Experience mentoring or training others
Demonstrated experience in analytic project design
Proficiency in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications
Ability to design and build complex technical applications
Communication/Presentation skills:
Well-developed verbal and written skills
Ability to facilitate planning and review sessions;
Solid presentation skills; presents to senior level department management
Negotiation/Leadership skills:
Able to operate in a matrix environment
Able to implement Actuarial department standards and processes
Able to identify issues and roadblocks and participate in their resolution
Receives regular management oversight of selected projects and processes
Applies own judgment on most analytical and technical issues with input on organization and implementation
Interpersonal skills (include personal interaction):
Must be able to work cooperatively as a team member. Regular interface with various levels of Tufts leadership, staff and providers is required as well.
Confidential data:
All information (written, verbal, electronic, etc.) that an employee encounters while working at **MEMBERS ONLY**SIGN UP NOW***. is considered confidential. Will be exposed to and required to deal with highly confidential and sensitive material. Must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.
Working Conditions or Additional requirements (include special requirements, e.g., lifting, travel, overtime)
Unlimited access to confidential member and provider specific data.
Fast paced office environment. Works on personal computer approximately 70% of the time. Must be able to exercise appropriate judgment, as necessary. Open cubicle work setting with personal computer.
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Watertown Career Job
Senior Actuarial Analyst - Medical Economics Job Requirements

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