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Company

PwC · 3 days ago

Health Actuary- Manager

San Francisco, CA

Full-time

Remote

Mid, Senior Level

$100K/yr - $232K/yr

5+ years exp

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AccountingBusiness Development

No H1B

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Responsibilities

Develop new skills outside of comfort zone.

Act to resolve issues which prevent the team working effectively.

Coach others, recognise their strengths, and encourage them to take ownership of their personal development.

Analyse complex ideas or proposals and build a range of meaningful recommendations.

Use multiple sources of information including broader stakeholder views to develop solutions and recommendations.

Address sub-standard work or work that does not meet firm's/client's expectations.

Use data and insights to inform conclusions and support decision-making.

Develop a point of view on key global trends, and how they impact clients.

Manage a variety of viewpoints to build consensus and create positive outcomes for all parties.

Simplify complex messages, highlighting and summarising key points.

Uphold the firm's code of ethics and business conduct.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Actuarial ScienceASA DesignationData AnalysisRisk AdjustmentMathematical EconomicsMathematicsFinancial ReportingPricing ModelsSASPredictive AnalyticsMedical Claim Data AnalysisProject ManagementPublic Policy AnalysisEconomicsMathematical StatisticsStatisticsData Visualization ToolsClient Focused

Required

Bachelor Degree

5 year(s) of experience

Preferred

Master Degree

Actuarial Science, Mathematical Economics, Mathematics, Analytics, Public Policy Analysis, Economics, Finance, Mathematical Statistics, Statistics

ASA Designation

Demonstrates extensive abilities and/or a proven record of success as a team leader in the Payer and/or Provider industries including: Leading 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 risk adjustment;

Interpreting and applying regulatory requirements and standards to help clients meet both compliance and strategic objectives;

Employing entrepreneurial capability to help identify and evaluate new business opportunities and continuously innovate and improve processes and products.

Demonstrates extensive knowledge of, and/or proven record of success with: Managing multiple projects and deadlines;

Managing others to achieve project objectives while also developing those individual’s skill sets;

Working with management and senior level executives at other organizations;

Understanding actuarial aspects of commercial and government healthcare programs;

Helping identify client / company issues and resources needed to solve problems;

Using analytical thinking skills to evaluate analyses for communication to clients / leaders;

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;

Developing predictive analytics to help identify gaps within a health plan’s coding procedures and optimizing their revenue stream;

Creating a strategic roadmap with clients entering a new line of business or market, including the development of a proforma;

Analyzing a company’s financial statements finding opportunities to enhance their reporting or allocation of administrative expenses;

Supporting payers and providers as they move down the value-based care continuum, identifying impacts to their cost structure and operations;

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;

Developing and utilizing pricing models to help clients forecast earnings, budgets and pro-formas as well as certify rate filings;

Completing IBNR reserve analyses and assess actuarial balances as part of year-end financial audit for health and life insurance companies;

Researching business and industry trends to develop a point of view to leverage in assisting with proposals, considering opportunities across multiple lines of service;

Innovating through new and existing technologies, along with experimenting with next generation analytical solutions;

Working with large, complex data sets to build models and leverage data visualization tools to provide insights to clients;

Working independently and within a team;

Being client focused and results oriented.