WellSense Health Plan · 1 week ago
Actuarial Analyst I/II
United States
Contract
Remote
Entry, Mid Level
2+ years expWellSense Health Plan is a growing regional health insurance company with a 25-year history of providing health insurance that works for its members. The Actuarial Analyst I/II plays a key role in the Finance / Actuarial Services team, providing assistance and technical support for various actuarial functions including rating/pricing, reserving, and healthcare data analytics.
Hospital & Health Care
Responsibilities
Analyzes financial, statistical and mathematical data and performs actuarial calculations
Develops premium rates through analyses of benefit design, rating factors, claims experience, regulatory mandates, admin expense allocation, and projection of future claim cost
Prepares regulatory rate filings, and data or response for additional inquiries
Develops 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
Summarizes findings and recommendations, and documents the process
Shares knowledge and provides training to new employees
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 2 years of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis
Should be experienced in MS Office products, SQL, and SAS or other statistical software
Should be experienced or proficient in 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 3 or more SOA actuarial exams
A background in managed healthcare, insurance operations
Benefits
Full-time remote work
Competitive salaries
Excellent benefits
Company
WellSense Health Plan
A nonprofit health plan serving Medicare, Individual & Family, and Medicaid plan members in Massachusetts & New Hampshire.
1001-5000 employees
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 StageLeadership Team
Heather Thiltgen
President & CEO
Diana Cruz
Chief Operating Officer
Company data provided by crunchbase