Government Programs Actuarial Analyst II

mgh institute of health professionsDenver, COyesterday

$63,648 - $92,570 per year

Occupations

Actuaries Financial Quantitative Analysts Operations Research Analysts

Industries

Direct Health and Medical Insurance Carriers Administration of Public Health Programs Other General Government Support

Government Programs Actuarial Analyst IIMass 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 world's 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.

Qualifications:

Bachelor's 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 1–2 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
Additional Job Details (if applicable):This is a remote role that can be done from most US states
This is a full-time, Monday through Friday role with 5 eight-hour days
Remote workdays require a stable, secure, quiet, and HIPAA-compliant workspace. This will be confirmed via Microsoft Teams video for all employees

Remote Type: Remote

Work Location: 399 Revolution Drive

Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Day (United States of America)

Pay Range: $63,648.00 - $92,570.40/Annual

Grade: 6

Apply now

Level

SeniorL5

Salary

$63,648 - $92,570 per year

Location

Denver, CO

Occupation

Actuaries

Industry

Direct Health and Medical Insurance Carriers

Posted

yesterday

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