Government Programs Actuarial Analyst II

Site: Mass General Brigham Health Plan Holding Company, Inc. 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 of 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 analytics and reporting to monitor claims and risk‑score trends, and to effectively communicate financial performance to business leadership. Essential Functions Lead monthly reserving process (IBNR and other actuarial accruals) and communicate financial results and variances to senior leadership and the budget. 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 bids, 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. At least 2‑3 years of actuarial analysis experience required. At least 2 years of healthcare‑related actuarial experience highly preferred. Demonstrated knowledge and experience in Medicare and D‑SNP highly preferred. 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 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. Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $63,648.00 - $90,750.40/Annual Grade 6 EEO Statement: 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 Veteran’s 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 View phone number on click.appcast.io. #J-18808-Ljbffr Dormont Manufacturing Co