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Fallon Health · 1 month ago

Actuarial Analyst- Growing Healthcare Organization

US-MA-Worcester

Full-time

Onsite

New Grad, Entry Level

Fallon Health is a company that cares, prioritizing equitable, high-quality care for its members. They are seeking a motivated and detail-oriented analyst to support key business functions such as pricing, reserving, forecasting, and risk analysis, while collaborating with cross-functional teams.

FitnessHealth CareMedical

Responsibilities

Assist in the development and maintenance of actuarial models for valuation, forecasting, pricing, and/or risk analysis

Perform data analysis and experience studies using large datasets from internal and external sources

Support the preparation of actuarial components of financial reports, regulatory submissions, and risk adjustment analyses

Collaborate with cross-functional teams including finance, claims, sales, and product development to evaluate the impact of benefit changes, provider contracts, and regulatory updates

Document assumptions, methodologies, and results in compliance with ASOPs, CMS guidance, and state/federal requirements

Contribute to the automation and streamlining of actuarial processes

Stay current with industry trends, regulatory changes, and professional standards

Qualification

Actuarial examsData analysisActuarial softwareExcelQuantitative skillsAnalytical skillsProblem-solving skillsCommunication skillsTeamworkAttention to detail