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Role Summary

HIGHLIGHTS

Associate-level health actuarial analyst role at Fallon Health in Worcester, MA. Support pricing, reserving, forecasting, risk adjustment, and regulatory actuarial work for Medicare, Medicaid and related products. Build and maintain actuarial models, run experience studies on large datasets, and prepare actuarial inputs for financial and regulatory filings. Requires passage of at least two SOA exams and a bachelor's degree.

JOB DESCRIPTION SUMMARY

Support pricing, reserving, forecasting and risk adjustment for Medicare/Medicaid products
Build and maintain actuarial models; document per ASOPs and CMS guidance
Analyze large datasets and perform experience studies for valuation and forecasting
Prepare actuarial components of financial reports and regulatory submissions
Worcester, MA role; must have permanent U.S. work authorization (no sponsorship)

DOMAIN EXPERTISE

health pricing
reserving/valuation
risk adjustment analyses
experience studies with large datasets
regulatory submissions (CMS)

KEY REQUIREMENTS

Passage of at least two Society of Actuaries exams
BS/BA in Actuarial Science, Math, Statistics, Finance, Economics or related
Proficiency in Excel is required
Familiarity with insurance products and regulatory environments (CMS)
Permanent U.S. work authorization; no visa sponsorship

TECH STACK

Excel

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Support pricing, reserving, forecasting and risk adjustment for Medicare/Medicaid products
Build and maintain actuarial models; document per ASOPs and CMS guidance
Analyze large datasets and perform experience studies for valuation and forecasting
Prepare actuarial components of financial reports and regulatory submissions
Worcester, MA role; must have permanent U.S. work authorization (no sponsorship)