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Wakely Consulting Group · 3 days ago

Senior Consulting Actuary - ACA Pricing

United States

Full-time

Remote

Senior Level, Lead/Staff

8+ years exp

Wakely Consulting Group is seeking a Senior Consulting Actuary with expertise in ACA pricing, strategy, and market dynamics. The role involves managing client relationships, leading actuarial project teams, and ensuring quality deliverables while mentoring junior consultants.

Health CareHealth DiagnosticsPersonal Health

Growth Opportunities

Responsibilities

Lead and certify ACA premium rate filings for individual and small group markets, ensuring compliance with rating rules and regulatory requirements

Analyze detailed claim and enrollment data to inform pricing, forecasting, and strategic decision-making

Partner with clients to develop and implement product, pricing, and market strategies that respond to regulatory and competitive changes

Conceptualize and model the impact of policy shifts and competitor actions on client portfolios

Advise on plan design and product development, aligning actuarial insights with client goals

Communicate complex findings and recommendations to client executives and stakeholders in a clear, compelling manner

Foster strong client relationships while also coaching and developing junior team members

Collaborate across teams to deliver integrated, forward-thinking solutions

Implement initiatives for Wakely products, tools and services through training and regular meetings

Manage and understand individual client needs and develops a strategic plan to meet those needs

Manage client relationships to include client visits, ongoing correspondence and feedback

Mitigate risk by ensuring client contracts, documentation and processes are followed

Conduct periodic reviews of project plans, final deliverables and post project results

Oversee project communication and provide venues for constructive feedback

Ensure project team is providing quality deliverables, updates and billing clients within timelines

Appropriate delegation of work

Maintain credentials, signing authority and health care knowledge through continuing education

Implement industry training for internal/external initiatives

Identify needs and align employee career path plan

Manage the creation of additional resources and reference materials

Implement brand recognition through participating in seminars/events and research papers, etc

Generate new business and/or product lines by executing on established action plans

Manage new marketing initiatives to generate sales leads

Introduce new value add services to current clients

Prioritize and manage operational efficiency initiatives

Administer compliance of policies and procedures to ensure cross office collaboration

Recruit top talent and participate in the selection and orientation process

Oversee and participate in community and professional volunteer activities/opportunities

All other duties as assigned

Qualification

ACA pricing expertiseClaims analysisMarket modelingClient managementProject managementEffective communicationTeam playerTime managementContinuous learningLeadershipEmotional intelligenceStrategic thinking

Required

Minimum of a bachelor's degree in actuarial science, mathematics, economics, or statistics required

FSA designation or ASA designation with additional experience also required

Minimum of 8 years of healthcare actuarial experience in one of more of Wakely's core areas (Medicaid, healthcare reform, ACA, Provider Sponsored Organizations and Medicare Advantage), with at least 2 years of project management or client management experience required

Demonstrated experience with ACA rating rules and premium rate certification

Strong technical expertise in claims analysis, risk adjustment, and market modeling

Strategic thinker who anticipates market and regulatory changes and translates them into actionable client strategies

Proven ability to build trust with clients and influence decision-making at the leadership level

Passion for mentoring and developing actuarial talent

Excellent communication skills and ability to work effectively across cross-functional teams

Ability to decide in an independent way what actions should be taken

Demonstrates the ability to convey thoughts and express ideas effectively, both verbally and written

Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect

Makes reasonable estimates of resources needed to achieve goals or complete projects. Uses methods to plan and track work and commitments

Displays an ongoing commitment to increasing skills

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

Consistently exercises sound judgment

Formulates objectives and priorities, and implements plans consistent with the long-term interest of the organization and employees

Company

Wakely Consulting Group

Going Beyond the Numbers At Wakely Consulting Group, an HMA company, our mission is to provide the utmost in professional actuarial, health care reform consulting and value-added services to the health care industry at a very reasonable cost.

Founded in 1999

Clearwater, Florida, USA

51-200 employees