Senior Actuarial Analyst

Company: Harvard Pilgrim Health Care
Location: Wellesley, MA
Posted on: December 19, 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 benefit plans, and provides “ad

hoc” analytics in support of market 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,

Actuarial Value certifications, and Minimum Value calculations. Develops

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.

Education & Experience Requirements:

Bachelor’s degree or equivalent in Computer Science, Business

Administration, Mathematics, Management Information Systems or a related

field plus 3 years of experience providing actuarial forecasting experience

for the health care industry or health care benefits.

Or, in the alternative:

Master’s degree or equivalent in Computer Science, Business Administration,

Mathematics, Management Information Systems or a related field plus 1 year

of actuarial forecasting experience for the health care industry or health

care benefits.

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

Actuaries exam series.

Special Requirements:

(1) Demonstrated expertise applying actuarial, underwriting, and financial

principles within the Health Care market;

(2) Demonstrated expertise utilizing Excel pivot tables, advanced knowledge

of Excel functions, basic VBA and macro editing;

(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 project needs.

Send resume to jessica_franjul@harvardpilgrim.org & include job code GCPM

in the subject line.

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