Actuarial Analyst

Description and Requirements

The Actuarial Analyst will support the development, maintenance, and analysis of Healthfirst's financial Forecast and Budget across all lines of business. This role plays a key part in evaluating financial performance, monitoring emerging experience, and delivering insights that support strategic decision-making. The analyst will develop and enhance forecasting models, analyze healthcare and financial data, and partner closely with Finance, Accounting, Product, Clinical, Network, Pharmacy, and other business teams to improve forecast accuracy and drive business performance. This position offers broad exposure to multiple lines of business-including Medicaid, Medicare, Commercial, and Long-Term Care-and provides opportunities to contribute to high-impact initiatives while developing actuarial and analytical expertise.

• Build, maintain, and enhance actuarial forecasting models supporting the monthly Forecast and annual Budget processes.
• Analyze large healthcare claims, membership, and financial datasets to identify trends, risks, and opportunities.
• Monitor financial and operational performance across all lines of business, identifying emerging experience and key drivers of results.
• Develop and maintain forecast assumptions through collaboration with Finance, Accounting, Clinical, Network, Pharmacy, Product, and other business stakeholders.
• Perform actuarial and financial analyses including medical cost trends, pharmacy trends, utilization, accrual development, risk score monitoring, scenario modeling, and other emerging issues.
• Analyze monthly financial results against Forecast and Budget, identifying and communicating key drivers of variances.
• Prepare recurring forecast exhibits, dashboards, presentations, and management reporting that communicate financial results and emerging trends.
• Identify opportunities to improve forecasting methodologies, reporting processes, and automation to enhance efficiency, accuracy, and scalability.
• Collaborate with actuarial and cross-functional teams to deliver timely, accurate, and actionable analyses that support business decisions.
• Perform other duties as assigned.

• Bachelor's degree in Actuarial science, Mathematics, Statistics, Economics, Finance, or another quantitative discipline.
• Strong proficiency in Microsoft Excel, including advanced formulas, PivotTables, lookups, charting, and model troubleshooting.
• Strong analytical, quantitative, and problem-solving skills with the ability to synthesize complex information into actionable insights.
• Excellent organizational skills with the ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Demonstrated ability to think strategically while executing with attention to detail.
• Collaborative team player with the ability to build effective working relationships across actuarial and non-actuarial teams.
• Excellent written and verbal communication skills with the ability to clearly present analyses and recommendations to technical and non-technical audiences

• Experience with SQL, Python, SAS, R, or other data analysis and programming tools.
• One to two actuarial exams successfully completed toward ASA designation.
• Experience working with large, complex healthcare or financial datasets.
• Knowledge of health insurance products, including Medicaid, Medicare, Commercial, and Long-Term Care.
• Familiarity with actuarial functions such as forecasting, pricing, reserving, trend analysis, financial performance monitoring, or value-based care analytics.
• Experience developing reports, dashboards, or data visualizations using tools such as Power BI or Tableau is a plus.