Consulting Actuary - Value Based Provider

Wakely Consulting Group

11d

About The Position

Wakely is seeking a Consulting Actuary with expertise in VBP across lines of business, with a focus on Medicare fee-for-service ACOs and Medicare Advantage. This individual will play a key role in leading client engagements, managing internal workflows across various teams, strategic planning with senior leaders, and mentoring the next generation of analysts. The Consulting Actuary I is responsible for supporting Wakely’s strategic growth by learning about new business development and product opportunities. In addition, the position will work to effectively apply the principals of project management and client relations.

Requirements

Demonstrated experience designing, evaluating or operating within value-based payment models across lines of business
Strong technical expertise in claims analysis, risk adjustment, and forecast modeling.
Strategic thinker who anticipates market and regulatory changes and translates them into actionable client strategies.
Ability and interest to build trust with clients and grow personal network.
Passion for mentoring and developing actuarial talent.
Excellent communication skills and ability to work effectively across cross-functional teams.
Minimum of a bachelor’s degree in actuarial science, math, statistics, or related field required.
Minimum of 2 years of healthcare actuarial experience and should be working toward an ASA certification.
Initiative – Ability to decide in an independent way what actions should be taken.
Effective Communication – Demonstrates the ability to convey thoughts and express ideas effectively, both verbally and written.
Team Player – Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect.
Time Management – Makes reasonable estimates of resources needed to achieve goals or complete projects. Uses methods to plan and track work and commitments.
Continuous Learning – Displays an ongoing commitment to increasing skills.
Leadership – Develops the ability of others to perform and contribute to the organization by providing ongoing feedback and opportunities to learn through formal and informal methods.
Emotional Intelligence – Consistently exercises sound judgment.
Strategic Thinking – Formulates objectives and priorities and implements plans consistent with the long-term interest of the organization and employees.

Responsibilities

Lead and manage client communication, working with multiple experts including non-actuarial staff to piece together and explain complex concepts in a clear and concise manner to clients
Manage timeliness of project deliverables by creating, updating, and executing project timelines
Delegate and train junior staff on performing actuarial analysis as it relates to risk adjustment operations
Learn Wakely Tools and Products for the VBC entities
Assist with business development opportunities, such as responding to Request-For-Proposals (RFPs) and other opportunities
Train analysts on VBP concepts and financial modeling standard practices
Collaborate across internal teams, such as risk adjustment, Medicare Advantage, Medicaid, ACA, and CMS/CMMI model teams
Maintain Client Relationships
Foster opportunities to promote Wakely tools, services, and products.
Implement a strategic plan consistent to client needs.
Increase client interaction skills by partnering with client lead on key initiatives.
Identify and implement changes to avoid potential compliance risk.
Manage Project According to Defined Plan
Create and communicate a project plan to include scope, goals, timelines, and billed hours.
Manage, adjust, and communicate plan internally/externally throughout project.
Deliver high quality work (conceptual & technical) within budget and timeline constraints
Organize and set priorities for assigned work.
Gain and Sustain Professional/Industry Knowledge
Continue exam progression towards FSA.
Seek a deeper knowledge of multiple healthcare concepts and become known for expertise in a particular area.
Identify and facilitate learning opportunities for project team and/or individuals.
Create core materials, reference items and training programs.
Implement New Business Growth Strategies
Represent Wakely’s brand through involvement in seminars/events and periodicals, etc.
Learn and execute on new business and/or product lines.
Contribute to new marketing initiatives to generate sales leads.
Support and identify value added services to current clients.
Apply Best Business Practices
Apply operational improvement initiatives.
Incorporate policies and procedures related to cross office collaboration into projects.
Recruit top talent and participate in the selection and orientation process.
Participate in community and professional volunteer activities/opportunities.