Government Programs Actuarial Analyst II

Site: Mass General Brigham Health Plan Holding Company Inc.

Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham we are at the forefront of transformation with one of the worlds leading integrated healthcare systems. Together we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds experiences and skills.

We are pleased to offer competitive salaries and a benefits package with flexible work options career growth opportunities and much more. We offer a comprehensive actuarial development program designed to support continued exam progression including paid study time exam reimbursement and structured salary increases tied to exam achievement.

The Government Programs Actuarial Analyst II position will serve as the subject matter expert for the Medicare and Dual Eligible lines of business. Under the supervision and guidance of the Director Actuarial Reserving Forecasting & Risk Management Support this role will support key actuarial functions such as valuation pricing and forecasting. The individual will have cross-functional responsibilities to coordinate the analytics and reporting to monitor claims and risk score trends as well as effectively communicate financial performance to business leadership.

Essential Functions
-Lead monthly reserving process (IBNR and other actuarial accruals) and communication of financial results and variances to the budget to senior leadership.
-Support quarterly forecasting of Medicare and D-SNP for Premium Deficiency Reserve calculation Budget and Forecast including analysis of trends assumptions and key drivers
-Contribute to the development and successful completion of Medicare and D-SNP Bid including data preparation pricing support and documentation
-Support regulatory and financial reporting requirements including annual external audits DOI audits and various recurring Medicare and D-SNP filings
-Develop and enhance actuarial analyses and reporting including pricing studies dashboards and presentations that provide insights into financial performance risk factors and profitability.
-Monitor and evaluate emerging risks to financial performance including claims trends and changes in regulations.
-Collaborate with leadership and cross-functional teams to apply actuarial concepts deliver high-quality work and ensure accountability to deadlines and commitments.
-Perform other duties as assigned with or without accommodation.

• Bachelors degree in Mathematics Statistics or another quantitative discipline (Physics Engineering Quantitative Finance Mathematical Economics etc.) required
• Minimum of 2 years of full-time actuarial experience in a healthcare or insurance setting
• At least 12 years of healthcare actuarial experience required ideally supporting Medicare Advantage DSNP or government programs

Knowledge Skills and Abilities

• Proficiency in Microsoft Office VBA SQL and SAS.
• Strong written and oral communication skills with the ability to convey actuarial concepts to non-technical stakeholders
• Demonstrated knowledge of actuarial concepts techniques and methodologies
• Strong understanding of insurance principles products and pricing concepts
• Strong analytical and problem-solving skills with the ability to interpret complex data and perform quantitative analyses
• Excellent mathematical and statistical skills with a keen attention to detail
• Strong organizational and time management skills with the ability to manage multiple projects and meet deadlines

Working Conditions

• This is a hybrid role that requires an on-site presence at the office at Assembly Row 3x/week
• This is a full-time Monday through Friday role with five 8-hour days

Hybrid

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$63648.00 - $90750.40/Annual

Grade

6

At Mass General Brigham we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive and any offer extended will take into account your skills relevant experience if applicable education certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however it does not encompass all elements contributing to your total compensation addition to competitive base pay we offer comprehensive benefits career advancement opportunities differentials premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

8925 Mass General Brigham Health Plan Holding Company Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

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