Health Actuary Consultant- Senior Associate

PwC•Washington, DC

1d•Onsite

About The Position

A career in our Benefits practice, within People and Organisation Consulting services, will provide you with the opportunity to help our clients reset their talent strategies and deliver extraordinary business results through their people. We focus on evaluating and managing their unique challenges so our clients can maximise their return on the overall investment in human capital. You’ll gain a tremendous depth of expertise in all aspects of human capital, including creating sustainable value through people culture and change, designing compensation and retirement strategies, and improving human capital operations. Our team helps our clients evaluate, redesign, implement and manage their health and welfare and retirement benefits programmes. You’ll help our clients with active and retiree plan performance management, vendor selection, provider strategy, financial reporting and cost driver analysis, private exchange and drug benefit evaluation. As a Senior Associate, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. As a PwC Healthcare Consulting Actuary, you will be part of our exciting, growing team that provides strategic, analytic, and technical support to our payer and provider clients. The healthcare sector continues to evolve, so our clients look to us to support them in redefining their strategy and thinking to maintain market share, margins, and achieve cost savings.

Requirements

Bachelor Degree
3 year(s) of experience
4+ Actuarial Exams
Demonstrates thorough level abilities and a proven record of success as a team/functional contributor in the Payer and/or Provider industries
Demonstrates thorough level abilities and a proven record of success in the following areas: Analyzing clients’ medical claim data to understand historical trends and suggest opportunities to implement savings initiatives; Writing medical cost and risk adjustment analytics using SAS to help clients identify sources of value; Analyzing a company’s financial statements finding opportunities to enhance their reporting; Supporting mergers and acquisitions by evaluating a target’s financial statements and developing a quality of earnings adjustment as well as providing insight into the target’s expected future earnings potential; Completing IBNR reserve analyses and assessing actuarial balances as part of year-end financial audits for health and life insurance companies; and, Researching business and industry trends to develop a point of view to leverage in assisting with proposals and opportunities across multiple lines of service.
Demonstrates through level abilities and a proven record of success with automation & digitization in a professional services environment, including: Analyzing clients’ medical claim data to understand historical trends and suggest opportunities to implement savings initiatives; Evaluating a client’s end-to-end risk adjustment process, evaluating the return on investment for each operational activity and vendor; Supporting Value-Based Care contracting and analytics for payers, providers, and health services organizations; Developing predictive analytics to help identify gaps within a health plan’s coding procedures and optimize its revenue stream; Creating a strategic roadmap with clients entering a new line of business or market, including the development of a proforma; Innovating through new and existing technologies, along with experimenting with digitization solutions; Working with large, complex data sets to build models and leverage data visualization tools to provide insights to clients; Utilizing digitization tools to reduce hours and optimize engagements; and, Identifying alternative fee arrangements, including pricing tools, to provide a point of view on pricing strategies.

Nice To Haves

Mathematical Statistics, Mathematics, Actuarial Science, Public Policy Analysis, Mathematical Economics, Finance
PwC Professional skills and responsibilities for this management level include but are not limited to: Use feedback and reflection to develop self awareness, personal strengths and address development areas. Delegate to others to provide stretch opportunities, coaching them to deliver results. Demonstrate critical thinking and the ability to bring order to unstructured problems. Use a broad range of tools and techniques to extract insights from current industry or sector trends. Review your work and that of others for quality, accuracy and relevance. Know how and when to use tools available for a given situation and can explain the reasons for this choice. Seek and embrace opportunities which give exposure to different situations, environments and perspectives. Use straightforward communication, in a structured way, when influencing and connecting with others. Able to read situations and modify behavior to build quality relationships. Uphold the firm's code of ethics and business conduct.

Responsibilities

Use feedback and reflection to develop self awareness, personal strengths and address development areas.
Delegate to others to provide stretch opportunities, coaching them to deliver results.
Demonstrate critical thinking and the ability to bring order to unstructured problems.
Use a broad range of tools and techniques to extract insights from current industry or sector trends.
Review your work and that of others for quality, accuracy and relevance.
Know how and when to use tools available for a given situation and can explain the reasons for this choice.
Seek and embrace opportunities which give exposure to different situations, environments and perspectives.
Use straightforward communication, in a structured way, when influencing and connecting with others.
Able to read situations and modify behavior to build quality relationships.
Uphold the firm's code of ethics and business conduct.
Contributing to projects involving actuarial aspects of commercial and government programs and issues in a major consulting firm or corporate environment, emphasizing areas that include pricing, underwriting, health plan financial reporting, data analysis, and risk adjustment.
Helping companies define and evaluate corporate and business unit strategies and investment portfolios.
Analyzing market, competitive, and other external drivers.
Analyzing clients’ medical claim data to understand historical trends and suggest opportunities to implement savings initiatives.
Writing medical cost and risk adjustment analytics using SAS to help clients identify sources of value.
Analyzing a company’s financial statements finding opportunities to enhance their reporting.
Supporting mergers and acquisitions by evaluating a target’s financial statements and developing a quality of earnings adjustment as well as providing insight into the target’s expected future earnings potential.
Completing IBNR reserve analyses and assessing actuarial balances as part of year-end financial audits for health and life insurance companies.
Researching business and industry trends to develop a point of view to leverage in assisting with proposals and opportunities across multiple lines of service.
Evaluating a client’s end-to-end risk adjustment process, evaluating the return on investment for each operational activity and vendor.
Supporting Value-Based Care contracting and analytics for payers, providers, and health services organizations.
Developing predictive analytics to help identify gaps within a health plan’s coding procedures and optimize its revenue stream.
Creating a strategic roadmap with clients entering a new line of business or market, including the development of a proforma.
Innovating through new and existing technologies, along with experimenting with digitization solutions.
Working with large, complex data sets to build models and leverage data visualization tools to provide insights to clients.
Utilizing digitization tools to reduce hours and optimize engagements.
Identifying alternative fee arrangements, including pricing tools, to provide a point of view on pricing strategies.