30 days old

Health Actuarial Manager - Payers and Providers

New York, NY 10017
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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. Youll 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. Youll 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 Manager, youll work as part of a team of problem solvers with extensive consulting and industry experience, helping our clients solve their complex business issues from strategy to execution. Specific responsibilities include but are not limited to:

  • Proactively assist in the management of a portfolio of clients, while reporting to Senior Managers and above
  • Be involved in the financial management of clients
  • Be actively involved in business development activities to help identify and research opportunities on new/existing clients
  • Contribute to the development of your own and teams technical acumen
  • Develop strategies to solve complex technical challenges
  • Assist in the management and delivering of large projects
  • Train, coach, and supervise staff
  • Keep up to date with local and national business and economic issues
  • Continue to develop internal relationships and your PwC brand

Preferred skills

  • This position provides opportunities to engage in unique projects, grow professionally and develop innovative service offerings. With team members located across the US, there are many opportunities to work with a diverse set of clients. At times you may be brought in as a subject matter expert, other times you may lead the project end to end. There is always an engagement that will highlight your strengths and further developing your experience.

    Job Requirements and Preferences: 

    Basic Qualifications: 

    Minimum Degree Required: 
    Bachelor Degree

    Required Fields of Study: 
    Finance, Business Administration/Management, Actuarial Science, Statistics, Mathematics, Economics

    Minimum Years of Experience: 
    5 year(s) 

    Certification(s) Required: 

    Associate of Society of Actuaries (ASA)

    Preferred Qualifications: 

    Certification(s) Preferred: 

    One or more of the following certifications are required for this role: CPA, Enrolled Agent, Member of the Bar, Certified Equity Professional, Certified Pension Consultant, CCP, CPP, GRP, QKA, QPA, Licensed Insurance Consultant, Licensed Pharmacist, Associate, Society of Actuaries, Certified Employee Benefits Specialist, Chartered Financial Analyst, SPHR, Enrolled Actuary, Fellow, Life Management Institute, Fellow, or Society of Actuaries

    Preferred Knowledge/Skills: 

    Demonstrates proven extensive knowledge of, and/or success in roles directing functions or 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 compliance.

  • Organizational skills and ability to manage multiple projects and deadlines
  • Excel and database/statistical analysis language (SQL or SAS)
  • Communication skills and ability to work with management and senior level executives
  • Ability to help identify client issues and resources needed to solve problems
  • Analytical thinking skills to evaluate analyses for communication to clients
  • Experience with Medicare, Medicaid, commercial and/or supplemental health products
  • Some sample engagements and responsibilities include:

  • Analyze clients medical claim data to understand historical trends and suggest opportunities to implement savings initiatives
  • Evaluate a clients end-to-end risk adjustment process, and the return on investment for each operational activity and vendor
  • Develop predictive analytics to help identify gaps within a health plans coding procedures and optimize their revenue stream
  • Create a strategic roadmap with clients entering a new line of business or market, including the development of a proforma
  • Analyze a companys financial statements, and identify opportunities to enhance reporting      
  • Support payers and providers as they move down the value based care continuum and identify impacts to their cost structure and operations
  • Support mergers and acquisitions by evaluating a targets financial statements and develop a quality of earnings adjustment to provide insight into the targets expected future earnings potential
  • Complete IBNR reserve analyses and assess actuarial balances as part of year-end financial audit for health and life insurance companies
  • As an actuarial technical professional, demonstrates ability to research business and industry trends to develop a point of view to leverage in assisting with proposals, considering opportunities across multiple lines of service
  • Demonstrates knowledge of automation & digitization in a professional services environment including but not limited to:

    - 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

    Knowledge of alternative fee arrangements, including the use of pricing tools, to provide a point of view on pricing strategies.

    We are transforming the way we deliver tax services. Find out more about what we do on our Tax Career Page at pwc.to/whatwedotax

All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.

Jobs Rated Reports for Actuary

Posted: 2019-07-23 Expires: 2019-08-22

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Health Actuarial Manager - Payers and Providers

New York, NY 10017

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10th2018 - Actuary
Overall Rating: 10/220
Median Salary: $100,610

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