Help shape smarter, more equitable healthcare by delivering analytics that drive pricing, forecasting, and financial stability for members who depend on WellSense.
About WellSense Health Plan
WellSense is a nonprofit health insurance plan serving more than 740,000 members across Massachusetts and New Hampshire. For over 25 years, we’ve delivered high-quality, affordable health coverage for Medicare, Medicaid, and Individual/Family plans. Our mission is simple: provide health insurance that works for people, no matter their circumstances.
Schedule
• Full-time, remote
• Standard business hours
• Collaboration across actuarial, finance, and analytics teams
What You’ll Do
• Analyze financial, statistical, and mathematical data to support pricing, forecasting, and medical economics
• Develop premium rates using benefit design, claims experience, regulatory mandates, rating factors, and projected future claim cost
• Prepare regulatory rate filings and respond to follow-up inquiries
• Produce monthly IBNR reserve estimates across multiple lines of business
• Prepare monthly financial accruals and contract settlements
• Support budgeting, reforecasting, and financial projections
• Assist with risk adjustment analytics and risk score modeling
• Perform trend analysis and provider contract analytics
• Maintain recurring reports for internal teams and regulatory requirements
• Extract and validate data using SQL/SAS queries
• Summarize findings, document processes, and contribute to audits
• Provide analytic support for cross-department initiatives
• Participate in the Actuarial Student Program and progress toward ASA/FSA
What You Need
• Bachelor’s degree in Mathematics, Actuarial Science, Finance, Economics, or related field
• At least 2 years of actuarial analysis, data modeling, or related analytics experience
• Strong SQL and SAS (or similar statistical software) skills
• High proficiency in Excel and Microsoft Office
• Completion of at least 3 SOA exams preferred
• Experience in managed healthcare or insurance operations preferred
• Ability to manage deadlines, multitask, and solve complex problems
• Strong communication skills and a collaborative mindset
Benefits
• Full-time remote work
• Competitive salary
• Excellent healthcare benefits
• Professional development support, including actuarial exam progression
• Opportunities for growth within a mission-driven organization
Help build a healthier future with a team committed to equity, accuracy, and impact.
Happy Hunting,
~Two Chicks…