Government Programs Actuarial Analyst II

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.Essential FunctionsLead 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.QualificationsBachelor's degree in Mathematics, Statistics or another quantitative discipline (Physics, Engineering, Quantitative Finance, Mathematical Economics, etc.) requiredMinimum of 2+ years of full-time actuarial experience in a healthcare or insurance settingAt least 1–2 years of healthcare actuarial experience required, ideally supporting Medicare Advantage, DSNP, or government programsKnowledge, Skills, and AbilitiesProficiency in Microsoft Office, VBA, SQL, and SAS.Strong written and oral communication skills, with the ability to convey actuarial concepts to non-technical stakeholdersDemonstrated knowledge of actuarial concepts, techniques, and methodologiesStrong understanding of insurance principles, products, and pricing conceptsStrong analytical and problem-solving skills, with the ability to interpret complex data and perform quantitative analysesExcellent mathematical and statistical skills, with a keen attention to detailStrong organizational and time management skills, with the ability to manage multiple projects and meet deadlinesAdditional Job Details (if applicable)This is a remote role that can be done from most US statesThis is a full-time, Monday through Friday role with 5 eight-hour daysRemote workdays require a stable, secure, quiet, and HIPAA-compliant workspace. This will be confirmed via Microsoft Teams video for all employeesRemote TypeRemoteWork Location399 Revolution DriveScheduled Weekly Hours40Employee TypeRegularWork ShiftDay (United States of America)Pay Range$63,648.00 - $92,570.40/AnnualGrade6At 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 package. In 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.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.Mass General Brigham Competency FrameworkAt Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline. Mass General Brigham