Archway Health’s vision is to make healthcare easier, better, and less expensive.

We do this through a mix of great people who are passionate about improving and simplifying healthcare, building sophisticated data analytics tools that drive our unique insights, and developing easy to use software designed to help patients get better as quickly and safely as possible.

This role will be based in our Boston, MA office on a hybrid working schedule and requires compliance with Archway's mandatory COVID-19 vaccination policy.

Reporting to the Senior Vice President, Actuary, this role will:

• Assemble and analyze data to estimate probabilities of an event taking place.
• Use estimations to develop, test, and administer policies.
• Maintain existing and build new predictive models and analytic solutions using tools such as GLM, logistic regression and decision trees.
• Analyze external and internal data sources to develop proprietary pricing factors and models.
• Develop diagnostic tools to be used by underwriters in pricing individual risks and managing a portfolio of business.
• Research new pricing techniques and actively seek out novel methodologies and algorithms.
• Support corporate initiatives/projects that require analysis of medical claims data.
• Build and run SAS/python programs and queries to extract data from the database and review to ensure accuracy and validity of data.
• Perform health analytics in support of actuarial, underwriting, and decision making as well as developing new pricing models and benchmarks for use in modeling and pricing specialized risk arrangements.
• Runs risk sharing simulation and model validations.
• Develop an understanding of data sources and availability, uses and limitations to build datasets for use in experience studies.
• Work on new innovative actuarial and healthcare reform projects.
• Implement best practices analytical techniques and partner with data scientists in assessing the impact of loss trends and claims emergence.

Qualifications:

• Bachelor's Degree required (Math, Statistics, Actuarial Science, or Economics).
• Successful completion of at least 2 or more Actuarial exams preferred.
• 0 - 2 years of experience in healthcare or related industry.
• Previous healthcare experience in a Payor, MGU, or an Insurance/Actuarial Consulting firm desirable.
• Experience in Employer Stop-Loss Pricing or Provider Excess of Loss Pricing.
• Experience with Actuarial Science, Statistical Modeling, Predictive Models, AI/Machine learning.
• Models, and Big Data / Claims Data Analysis.
• Advanced experience with Microsoft® Excel.
• Advanced experience with SAS and or Python.
• Working experience with SQL.
• Working knowledge with BI tools e.g. Tableau Work Experience.

Preferred Competencies/Skills:

• Requires an understanding of self-funded and fully insured products, underwriting, claims forecasting, risk analysis, specific and aggregate stop-loss pricing, aggregating specific deductibles, lasering, and captives.
• Knowledge of healthcare administrative claims data is highly desirable.
• Understand and use the variation in healthcare spending across different dimensions for the estimation of risk.
• Must be able to analyze / synthesize data and communicate issues, findings, processes, solutions and ideas in a clear, concise, technically proficient and consultative manner.

To apply please visit us at www.archwayhealth.com or send your resume to hr@archwayha.com.

Archway Health is an equal-opportunity employer. Archway Health’s job openings are open to all without regard to race, color, national origin, gender, gender identity, religion, age, height, weight, disability, political beliefs, sexual orientation, marital status, family status, or veteran status.