- Leads reserving analysis and communication of financial results to senior leadership.
- Responsible for developing monthly IBNR, reviewing claims projects, updating lag files, and supporting of other actuarial accruals (MLR Rebate, MassHealth Corridors and Settlements, Risk Adjustment, Cost Sharing Reduction Accrual, etc.)
- Supports the quarterly forecasting of Mass General Brigham Health Plan financial statements for purposes of business planning.
- Responsible for explaining and monitoring Mass General Brigham Health Plan revenue and medical claims variances against the budget.
- Annual update of actuarial memorandum and support of actuarial memorandum.
- Supports annual audits (Mass General Brigham Health Plan and Mass General Brigham close), triennial DOI audit, and various quarterly/monthly MassHealth reporting and filings.
- Takes ownership of IBNR process and continue to refine and improve current processes and enhance efficiencies.
- Works closely with the reserving manager and the department VP to understand key actuarial concepts and hold self and others accountable to meet commitments.
- Persists in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
- Builds strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
- Other duties as assigned with or without accommodation.
- Bachelor's degree in Mathematics, Statistics or another quantitative discipline (Physics, Engineering, Quantitative Finance, Mathematical Economics, etc.) required or the equivalent combination of training and experience
- 3 years of analytic experience with at least 2 years of healthcare related actuarial experience; background on MassHealth is a plus.
- Completion of at least 1 actuarial exam.
- Proficient in Microsoft Office, VBA, SQL and SAS.
- Strong written and oral communication skills.
- Demonstrate Mass General Brigham Health Plan's core brand principles of always listening, challenging conventions, and providing value.
- Bring fresh ideas forward by listening to and working with employees and the people we serve.
- Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner.
- Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.
- Strong aptitude for technology-based solutions.
- Ability to inject energy, when and where it's needed.
- Current in healthcare trends.
- Demonstrated forward, visionary thinking; ability to see "what is" and envision "what could be."
- Ability to develop, introduce, defend, and gain support for a new ideas and approaches.
- Excellent leadership skills and leadership track record.
- Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required.
- Ability to view the long-range trends and cycles of the business and industry and see the "big picture."
- Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.
- Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.
- Excellent interpersonal skills, including the ability to influence others at all levels of an organization.
- Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.
- Unquestionable integrity.
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Actuarial Analyst II - Somerville, United States - Mass General Brigham Health Plan
Description
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry.As a member of Mass General Brigham, we are on 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 consciously inclusive environment where diversity is celebrated.
We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.
Under the supervision and guidance of the Manager, Actuarial Reserving, Forecasting & Risk Management Support, the Actuarial Analyst II position supports analysis, data collection, and other operational support for internal and external Actuarial/Underwriting deliverables with a focus on setting the monthly IBNR Reserve, budgeting and forecasting, and Mass Health financial reporting.
Principal Duties and Responsibilities:
Qualifications
Skills/Abilities/Competencies:
Mass General Brigham is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead.
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.
