It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

The Actuarial Analyst I is a key member of the Finance / Actuarial Services team. Under direct guidance and supervision, the Actuarial Analyst I applies knowledge of mathematics, probability, statistics, and principles of business in order to provide assistance and technical support for pricing, reserving, medical economics, financial forecasting, and/or healthcare data analytics. The Actuarial Analyst I works with a team of actuaries to assist with the actuarial components of health programs, and provides actuarial support to Finance, and/or other departments in the company.

Our Investment in You:

• Full-time remote work
• Competitive salaries
• Excellent benefits

Key Functions/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

Qualifications:

Education:

• Bachelor’s Degree in Mathematics, Actuarial Science, Finance, Economics or related fields

Experience:

• 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
• Successful completion of at least 1 SOA actuarial exams, desired

Competencies, Skills, and Attributes:

• 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

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

Required Skills

Required Experience