[Remote] Actuarial Analyst I/II

Note:The job is a remote job and is open to candidates in USA. WellSense Health Plan is a growing regional health insurance company with a 25-year history of providing health insurance services. The Actuarial Analyst I/II plays a crucial role in the Finance / Actuarial Services team, providing technical support for various actuarial functions including rating/pricing, reserving, and healthcare data analytics. Responsibilities• Analyzes financial, statistical and mathematical data and performs actuarial calculations• Develops premium rates through analyses of benefit design, rating factors, claims experience, regulatory mandates, admin expense allocation, and projection of future claim cost• Prepares regulatory rate filings, and data or response for additional inquiries• Develops monthly IBNR reserve estimates for different line of business• Prepares monthly accruals and contract settlements for different line of business• Assists in financial budget, reforecast and other financial projections• Assists in risk adjustment analyses and risk score simulations• Supports trend development, trend drivers' study, and/or provider contract analytics• Maintains established reports for internal needs and/or regulatory requirements• Participates in internal and external audits• Provides analytic support for corporate initiatives/projects• Executes SQL/SAS queries and programs to extract data from data warehouse, and reviews the data to ensure accuracy and validity• Summarizes findings and recommendations, and documents the process• Shares knowledge and provides training to new employees• Is a participant in good standing in the Actuarial Student Program, and is committed to completing the Society of Actuaries education courses to attain the ASA or FSA designationSkills• Bachelor's Degree in Mathematics, Actuarial Science, Finance, Economics or related fields• At least 2 years of progressively responsible experience in actuarial analysis, data modeling, informatics and analysis• Should be experienced in MS Office products, SQL, and SAS or other statistical software• Should be experienced or proficient in Excel• Ability to meet deadlines, multi-task, problem solve and use appropriate technology to analyze business problems• Ability to work collaboratively with team members and other departments• Good communications skills• Is a participant in good standing in the Actuarial Student Program, and is committed to completing the Society of Actuaries education courses to attain the ASA or FSA designation• Successful completion of at least 3 or more SOA actuarial exams• A background in managed healthcare, insurance operationsBenefits• Full-time remote work• Competitive salaries• Excellent benefitsCompany Overview• A nonprofit health plan serving Medicare, Individual & Family, and Medicaid plan members in Massachusetts & New Hampshire.It was founded in 1997, and is headquartered in Boston, Massachusetts, US, with a workforce of 1001-5000 employees. Its website isCompany H1B Sponsorship• WellSense Health Plan has a track record of offering H1B sponsorships, with 1 in 2025, 8 in 2024, 2 in 2023, 2 in 2021, 1 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job