Who We Are
Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click here.
Job Summary
Job Description Summary
The Actuarial Analyst I support the analysis and data needs for a broad range of financial and actuarial functions. This support will include rate reviews, financial planning and projections, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. This role will work closely with a variety of departments including underwriting, sales, contracting, and medical management.
Familiarity with the health insurance industry as well as experience in relational databases, data warehouses, Excel and statistical modeling, as well as strong interpersonal skills are preferred.
The position is eligible to participate in the Actuarial Student Program, including job rotations every 18-24 months and comprehensive support of the pursuit of Fellowship in the Society of Actuaries.
Key Responsibilities/Duties – what you will be doing
Planning, Design, Project/Process Management
- Performs analytic project work assigned by manager
- Provides input into analytic project plan development
Technical Analysis
- Uses data systems and query tools to complete work projects, primarily by modifying existing code and tools
Checking/Validation/Peer Review
- Performs basic checks for data consistency, according to defined criteria
Analysis/Interpretation
- Examines and interprets results in the context of the specific business questions being addressed
Communication/Presentation of Results
- Packages results to demonstrate how the analysis answers identified questions
Qualifications – what you need to perform the job
EDUCATION: Completion of 1-3 actuarial exams
SKILL REQUIREMENTS:
- Experience in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications
- Experience in analytic work is preferred
- Well-developed verbal and written skills
- Able to operate in a matrix environment
- Able to follow Actuarial department standards and processes
- Receives regular management oversight of all tasks, projects and processes
- Applies own judgment to limited analytical/technical issues
- Must be able to work cooperatively as a team member.
- Other duties as assigned
WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS (include special requirements, e.g., lifting, travel, overtime) Unlimited access to confidential member and provider specific data, as needed. Fast paced office environment. Works on personal computer approximately 70% of the time. Must be able to exercise appropriate judgment, as necessary. Open cubicle work setting with personal computer.
#LI-SZ1
#LI-Remote
Compensation & Total Rewards Overview
As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.
Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:
-
Medical, dental and vision coverage
-
Retirement plans
-
Paid time off
-
Employer-paid life and disability insurance with additional buy-up coverage options
-
Tuition program
-
Well-being benefits
-
Full suite of benefits to support career development, individual & family health, and financial health
For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/
Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity
Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact [email protected]
Top Skills
What We Do
Guiding and empowering healthier lives.