Job Description:

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

Job Summary

Support the analysis and data needs for a broad range of financial and actuarial functions. This support will include rate reviews, financial planning and projections, trend analysis, product development, provider reimbursement analysis, fee schedule development, provider risk analysis, and medical cost containment analysis. This role will work closely with a variety of THP departments including underwriting, sales, contracting, and medical management.

Familiarity with the health insurance industry as well as experience 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.

Job Description

Planning, Design, Project/Process Management

• Performs analytic project work assigned by manager


• Provides input into analytic project plan development

Technical Analysis

• Uses THP data systems and query tools to complete work projects, primarily by modifying existing code and tools

Checking/Validation/Peer Review

• Performs basic checks for data consistency, according to defined criteria

Analysis/Interpretation

• Examines and interprets results in the context of the specific business questions being addressed

Communication/Presentation of Results

• Packages results to demonstrate how the analysis answers identified questions

Other duties as assigned

Requirements

EDUCATION:

College degree required. Completion of 1-3 actuarial exams.

SKILL REQUIREMENTS:

Analytic:

• Demonstrated experience in analytic work

Technical:

• Experience in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications

Communication/Presentation skills:

• Well-developed verbal and written skills

Negotiation/Leadership skills:

• Able to operate in a matrix environment


• Able to follow Actuarial department standards and processes

Independence/Judgment:

• Receives regular management oversight of all tasks, projects and processes


• Applies own judgment to limited analytical/technical issues

Must be able to work cooperatively as a team member.

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:

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. Will be exposed to and required to deal with highly confidential and sensitive material and must adhere to corporate compliance policy and 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!

As of Nov. 1, 2021, full vaccination against COVID-19 is required to enter any Point32Health office or if, on behalf of Point32Health, you are meeting in-person with individuals outside of a Point32Health office. As of Dec. 8, 2021, all employees - including remote employees - must be fully vaccinated. This position will require the successful candidate to show proof of full vaccination against COVID-19. Point32Health is an equal opportunity employer, and will consider reasonable accommodation to those individuals who are unable to be vaccinated consistent with federal, state, and local law.

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