Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

Job Summary

Conduct analysis and data development 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 departments including underwriting, sales, contracting, and medical management.
An understanding of the health insurance industry as well as 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.

Key Responsibilities/Duties – what you will be doing

Planning, Design, Project/Process Management
• Performs analytic project work assigned by manager with minimal supervision.
• Develops analytic project plan to meet defined objectives.
• Facilitates planning and review sessions.
Technical Analysis
• Uses THP data systems and query tools to complete work projects, developing new code and tools to meet objectives.
Analysis/Interpretation
• Examines and interprets results in the context of the specific business questions being addressed.
• Identifies new questions and/or unforeseen data complexities arising from results and takes steps to address them
Checking/Validation/Peer Review
• Develops criteria to validate results in light of prior expectations
• Investigates unusual results and offers explanations
• Assists colleagues and more junior staff with validation/checking activities
Communication/Presentation of Results
• Packages results to demonstrate how the analysis meets project objectives

Qualifications – what you need to perform the job

EDUCATION:

Bachelor’s Degree in related field or equivalent education / training
2-4 exams passed

EXPERIENCE:

2+ years of responsible healthcare actuarial / analytic experience

SKILL REQUIREMENTS:

Demonstrated experience in analytic work
Proficiency in the use of personal computers, relational databases, statistical packages, spreadsheet and/or database applications
Well-developed verbal and written skills
Able to facilitate planning and review sessions
Developing presentation skills, presents mostly within department and to project teams
Able to operate in a matrix environment
Able to implement Actuarial department standards and processes
Receives regular management oversight of selected tasks and processes
Increasingly applies own judgment to growing number of analytical and technical issues
Must be able to work cooperatively as a team member
Regular interface with various levels of Tufts leadership, staff and providers is required as well

WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS: (include special requirements, e.g., lifting, travel, overtime)

Fast paced office environment in which the individual must be able to work extended hours when necessary.

Compensation & Total Rewards Overview

As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

Medical, dental and vision coverage
Retirement plans
Paid time off
Employer-paid life and disability insurance with additional buy-up coverage options
Tuition program
Well-being benefits
Full suite of benefits to support career development, individual & family health, and financial health

For more details on our total rewards programs, visit https://www.point32health.org/careers/benefits/

Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity

Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_operations@point32health.org