WellSense Health Plan · 3 weeks ago
Actuarial Analyst I
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.
Hospital & Health Care
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
Qualification
Required
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
Preferred
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
WellSense Health Plan
A nonprofit health plan serving Medicare, Individual & Family, and Medicaid plan members in Massachusetts & New Hampshire.
H1B Sponsorship
WellSense Health Plan has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (8)
2023 (2)
2021 (2)
2020 (1)
Funding
Current Stage
Late StageCompany data provided by crunchbase