Health Actuary Consulting Senior Manager
About The Position
Our Human Capital practice is adding an Actuarial Senior Manager to our Insights, Innovation & Operate Offering. This role offers the opportunity to engage with executives across the health care landscape, ranging from health plays to large health systems, and lead teams that drive network coverage decisions, value-based care models and performance, product and pricing, and financial performance. You will be responsible for delivering strategic and technical consulting services to help clients address complex challenges, such as engaging with payers and provider clients to support a transition from current models to ones focused on outcomes for patients and members, examining the root cause issues for drivers of cost and reimbursement and formulating strategic paths for remediation, advising clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives, leading actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, reviewing plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients, reviewing and applying trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making, advising clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives, and developing and presenting reports and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements.
Requirements
- Bachelor’s degree
- 10+ years of health actuarial experience
- Associate of the Society of Actuaries (ASA) with progression to Fellow of the Society of Actuaries (FSA), FSA, or career ASA designation
- Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve.
- Limited immigration sponsorship may be available.
Nice To Haves
- 8+ years of consulting, health plan, or insurance company experience
- 6+ years of experience leading teams
- 6+ years of experience with product design or product strategy
- 6+ years of experience with reimbursement models, including value-based care or accountable care organization (ACO) modeling
- 6+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets
Responsibilities
- Engage with payers and provider clients to support a transition from current models to ones focused on outcomes for patients and members
- Examine the root cause issues for drivers of cost and reimbursement and formulate strategic paths for remediation
- Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives
- Lead actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, review plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients
- Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making
- Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives
- Develop and present reports and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements
Benefits
- Discretionary annual incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Senior
