• Assist in the development and maintenance of premium rates for the Individual and Small Group markets.

• Support the preparation, validation, and submission of premium rate filings to state and federal regulatory agencies.

• Analyze and evaluate proposed benefit design and cost-sharing changes to determine financial and actuarial impacts.

• Conduct pricing analyses, actuarial studies, and financial modeling to support product and rate development initiatives.

• Assess the impact of proposed state and federal legislative, regulatory, and healthcare reform changes on pricing and product strategy.

• Perform Mental Health Parity compliance reviews and support related regulatory reporting requirements.

• Conduct experience analyses and drill-down studies to identify emerging trends, utilization patterns, and key cost drivers.

• Develop ad hoc actuarial models and analytics to support strategic decision-making and business initiatives.

• Collaborate with Product, Finance, Underwriting, Regulatory, Compliance, and other business partners to evaluate assumptions and recommendations.

• Review and analyze data from multiple sources to support actuarial projections and risk assessments.

• Prepare reports, presentations, and recommendations for management, clearly communicating complex actuarial concepts and analytical findings.

• Support additional actuarial projects and initiatives as assigned by department leadership.

• Apply actuarial principles, statistical methods, and mathematical modeling techniques to evaluate risk and support sound business decisions.

Required Qualifications

• Bachelor's degree in Mathematics, Statistics, Actuarial Science, Economics, Finance, or a related quantitative field from an accredited college or university, or an equivalent combination of education and relevant experience.

• Minimum of four (4) years of actuarial, statistical, healthcare analytics, or related quantitative experience.

• Progress toward Associate of the Society of Actuaries (ASA) designation preferred.

• Experience supporting actuarial pricing, modeling, forecasting, or financial analysis initiatives.

Preferred Qualifications

• Experience within the health insurance or managed care industry.

• Working knowledge of premium rate development, healthcare pricing, and actuarial methodologies.

• Familiarity with state and federal regulatory requirements related to health insurance products.

• Progress toward or attainment of ASA designation strongly preferred.

Certifications

• Associate of the Society of Actuaries (ASA) preferred.

• Continued advancement through the Society of Actuaries examination process is highly desirable.

Knowledge, Skills & Abilities

• Advanced proficiency in Microsoft Excel, including complex formulas, modeling, pivot tables, and data analysis.

• Experience with SAS, SQL, R, Python, or other statistical and analytical programming languages preferred.

• Strong understanding of actuarial principles, statistical methodologies, and quantitative analysis techniques.

• Ability to analyze large and complex data sets and translate findings into actionable business recommendations.

• Excellent analytical, mathematical, and problem-solving skills.

• Strong oral, written, and presentation communication skills with the ability to explain technical concepts to non-technical audiences.

• Demonstrated ability to exercise sound judgment and make data-driven recommendations.

• Strong attention to detail and commitment to accuracy.

• Ability to manage multiple projects and priorities in a fast-paced environment.

• Effective collaboration and relationship-building skills with cross-functional business partners.

Top Skills for Success in This Role

• Actuarial Modeling & Pricing Analysis

• Healthcare Cost & Utilization Analytics

• Statistical Analysis & Forecasting

• Risk Assessment & Financial Modeling

• Regulatory & Rate Filing Support

• Mental Health Parity Analysis

• Data Visualization & Storytelling

• Advanced Excel & Analytical Tools

• SQL, SAS, R, or Python Proficiency

• Critical Thinking & Problem Solving

• Business Partnership & Collaboration

• Communication & Presentation Skills