Senior Actuarial Analyst

Company: Harward Pilgrim Health Care
Location: Wellesley, MA
Posted on: October 7, 2014

Job Description:

Applying budgeting and pricing analysis techniques, maintains the soundness of

the organization's revenue stream. Develops pricing methodologies based on

actuarially sound pricing and underwriting principles. Analyzes insurance risk

pool and identifies trends and potential corrective measures to ensure a

sustainable cost curve and long-term viability as a health care insurer.

Develops rating memoranda for all Commercial products, rating territories, and

specific blocks of business in markets. Reviews and interprets methods and

rating formulas for employer and group rate development. Prices requests for

non-standard benefits packages. Within each market team, develops and files

quarterly rates, monitors and reports on experience, develops models, pricing

benefits plans, and provides "ad hoc" analytics in support of marketing strategy.

Works with Actuarial Department on forecasting, trend development, and rate

models. Adjusts models and reports according to expected impact of the

Affordable Care Act (ACA). Performs rate development, including developing

models, reviewing, summarizing, and communicating results, and anticipating

potential issues. Prepares rate filings and responds to queries from the

Division of Insurance (DOI). Performs product pricing and analysis in support of

strategic initiatives, prepares pricing new plans and new mandates, input for

forecast models and performs trend analysis. Provides guidance and training,

reviews work, and supports the growth of junior Analysts. Applies knowledge of

the new ACA regulations, responds to changes in the regulations, and monitors

mandates and other issues that could impact rate development. Analyzes model

pricing impact of limited networks, tiered products, and ACA compliant products.

Requirements: Bachelor's degree in Computer Science, Business Administration,

Mathematics, Management Information Systems or related field (willing to accept

foreign education equivalent) as well as 3 years of experience providing

actuarial forecasting for the Health Care industry or, alternatively, a Master's

degree and 1 years of experience as noted above.

Must also have passed at least three examinations in the Society of Actuaries

exam series. Exams must be beyond the Validation by Educational Experience (VEE)

level.

Also requires: (1) Demonstrated expertise applying actuarial, underwriting, and

financial principles within the Health Care market; 2) Demonstrated expertise

utilizing Excel pivot tables, worksheet, file linking, basic VBA and macro

editing, and v-lookup; 3) Demonstrated expertise utilizing Access, including

query design using linked tables, expressions, and parameters; and, 4)

Demonstrated expertise utilizing SAS/SQL, including extracting and manipulating

large data sets to meet analytic needs.

Send resume to jessica_franjul@harvardpilgrim.org and include the job title and

"Job Code GCJY" in the subject line.

Keywords: Harward Pilgrim Health Care, Boston , Senior Actuarial Analyst, Finance , Wellesley, MA, Massachusetts