• Tufts Health Plan
  • $95,175.00 -166,700.00/year*
  • Watertown , MA
  • Financial Services - Insurance
  • Full-Time
  • 2 Barnard Ave

We enjoy the important work we do every day on behalf of our members.

Job Summary

Job Description

Independently conduct analysis and data development, and guide the work of junior staff, for a broad range of financial and actuarial functions including product pricing and rate reviews, financial planning and forecasting, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. This is a senior analytical and technical position and as such must be able to perform independently and execute and/or oversee all the analytical and technical tasks required to take a project from inception to conclusion. This role will work closely with one or more THP departments including underwriting, sales, contracting, finance and clinical services.

A thorough understanding of the health insurance industry with proficiency in relational databases, data warehouses, Excel, and statistical modeling, as well as strong interpersonal skills, are required.

The position is eligible to participate in the Actuarial Student Program, including job rotations every 18-24 months and comprehensive support of the pursuit of Fellowship in the Society of Actuaries.

Requirements

Qualifications (Minimum education & experience level required):

College degree required

3+ years experience

2-4 exams

Skill requirements (include complexity of position):

Analytic:

Demonstrated experience in analytic work

Technical:

Proficiency in the use of personal computers, MS Excel, relational databases or statistical packages such as SAS. A solid understanding of SQL is a plus.

Communication/Presentation skills:

Well-developed verbal and written skills
Ability to facilitate planning and review sessions
Developing presentation skills, presents mostly within department and to project teams

Negotiation/Leadership skills:

Able to operate in a matrix environment
Able to implement Actuarial department standards and processes.

Independence/Judgment:

Receives regular management oversight of selected tasks, projects and processes
Increasingly applies own judgment to analytical/technical issues

Interpersonal skills (include personal interaction):

Must be able to work cooperatively as a team member. Regular interface with various levels of staff and management is required as well.

Working Conditions or Additional requirements (include special requirements, e.g., lifting, travel, overtime)

Unlimited access to confidential member and provider specific data, as needed.

Fast paced office environment. Works on personal computer approximately 70% of the time. Must be able to exercise appropriate judgment, as necessary. Open cubicle work setting with personal computer.

CONFIDENTIAL DATA: All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential. Exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.

What we build together changes our customer's health for the better. We are looking for talented and innovative people to join our team. Come join us!
Associated topics: actuarial, actuarial analyst, actuarial director, actuary, associate actuary, cost, director actuary, mathmatics, model, retirement actuary

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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