Posted in Other 30+ days ago.
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 Senior Analyst position supports analysis, data collection, and other operational support for internal and external Actuarial/Underwriting deliverables with a focus on supporting the monthly IBNR Reserve, budgeting and forecasting, and MLR model maintenance and analysis.
This position represents actuarial in many cross functional teams.
Principle Duties and Responsibilities
• Supports reserving analysis and communication of financial results to senior leadership.
• Responsible for monthly IBNR and other actuarial accruals (MLR Rebate, risk adjustment, PDR, Provider Bonus, High-Cost Risk Pool, etc.).
• Quarterly forecasting of Mass General Brigham Health Plan financial statements for purposes of business planning.
• Responsible for monthly MLR model update and communication of results to Pricing and UW; this includes but not limited to data analysis, identifying trends, monitoring performance, and making model adjustments.
• Ability to respond to sales, product, or accounting areas questions on actuarial deliverables.
• 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.
• Support annual audits (Mass General Brigham Health Plan and Mass General Brigham close) in addition to triennial DOI audit.
• Inform, engage, inspire, motivate, and actively listen to employees.
• Hold self and others accountable to meet commitments.
• Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
• Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.
• Other duties as assigned with or without accommodation.
Qualifications
Mass General Brigham |
Mass General Brigham Health Plan |
Mass General Brigham |