Actuarial Analyst

The Actuarial Analyst for Medicare will work as part of a team of actuaries responsible for performing all actuarial analysis for Healthfirst’s Medicare products, including pricing, forecasting, risk score analytics, data analysis, experience monitoring, reporting, etc.

Duties and Responsibilities:

• Handle premiums, claims, enrollment, and administrative expense data for reports to government and regulatory entities (such as CMS, NYSID, NYDOH, etc.) as well as routine internal reports
• Perform risk score, pricing and other data analytics for Medicare products
• Assist in the Medicare Part C and Part D bid process, including bid preparation and desk review follow-ups
• Monitoring experience and analyzing performance of Medicare products
• Other ad-hoc analysis on Medicare products

Required Qualifications:

• Bachelor’s degree in Actuarial Science, Math, Economics, Finance or any related degree
• Strong Excel skills, including ability to create pivot tables, v-lookups, graphs/visuals and perform troubleshooting
• Ability to collect, analyze and summarize qualitative/quantitative data
• Strong planning and organizational skills, with an ability to establish a strategic direction and subsequently outline initiatives
• Strategic thinker, creative, innovative, and execution-focused, turning ideas into measurable and meaningful results
• Ability to work on multiple projects
• Exceptional verbal and written communication skills

Preferred Qualifications:

• Passed 1 to 2 Actuarial Exams
• Experience with programming/coding, preferably SAS, SQL, or Python
• Experiencing working with large and complex datasets, including both financial and healthcare data
• Work experience within Managed Care, Medicare/Commercial Healthcare or Hospital in the actuarial field

Compliance & Regulatory Responsibilities: N/A

License/Certification: NA

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [email protected] or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $67,200 - $97,155

• All Other Locations (within approved locations): $59,800 - $88,910

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.