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Wakely Consulting Group · 3 days ago

Consulting Actuary - Value Based Provider

United States

Full-time

Remote

Entry, Mid Level

2+ years exp

Wakely Consulting Group is seeking a Consulting Actuary with expertise in value-based payment models, particularly in Medicare fee-for-service ACOs and Medicare Advantage. The role involves leading client engagements, managing internal workflows, strategic planning, and mentoring junior analysts.

Health CareHealth DiagnosticsPersonal Health

Growth Opportunities

Responsibilities

Lead and manage client communication, working with multiple experts including non-actuarial staff to piece together and explain complex concepts in a clear and concise manner to clients

Manage timeliness of project deliverables by creating, updating, and executing project timelines

Delegate and train junior staff on performing actuarial analysis as it relates to risk adjustment operations

Learn Wakely Tools and Products for the VBC entities

Assist with business development opportunities, such as responding to Request-For-Proposals (RFPs) and other opportunities

Train analysts on VBP concepts and financial modeling standard practices

Collaborate across internal teams, such as risk adjustment, Medicare Advantage, Medicaid, ACA, and CMS/CMMI model teams

Client Management - Maintain Client Relationships

Foster opportunities to promote Wakely tools, services, and products

Implement a strategic plan consistent to client needs

Increase client interaction skills by partnering with client lead on key initiatives

Identify and implement changes to avoid potential compliance risk

Project Management - Manage Project According to Defined Plan

Create and communicate a project plan to include scope, goals, timelines, and billed hours

Manage, adjust, and communicate plan internally/externally throughout project

Deliver high quality work (conceptual & technical) within budget and timeline constraints

Organize and set priorities for assigned work

Professional/Industry Development – Gain and Sustain Professional/Industry Knowledge

Continue exam progression towards FSA

Seek a deeper knowledge of multiple healthcare concepts and become known for expertise in a particular area

Identify and facilitate learning opportunities for project team and/or individuals

Create core materials, reference items and training programs

New Business Development – Implement New Business Growth Strategies

Represent Wakely’s brand through involvement in seminars/events and periodicals, etc

Learn and execute on new business and/or product lines

Contribute to new marketing initiatives to generate sales leads

Support and identify value added services to current clients

Internal Operations - Apply Best Business Practices

Apply operational improvement initiatives

Incorporate policies and procedures related to cross office collaboration into projects

Recruit top talent and participate in the selection and orientation process

Participate in community and professional volunteer activities/opportunities

Qualification

Value-based payment modelsClaims analysisRisk adjustmentForecast modelingHealthcare actuarial experienceEffective communicationTeam playerTime managementContinuous learningLeadershipEmotional intelligenceStrategic thinking

Required

Minimum of a bachelor's degree in actuarial science, math, statistics, or related field required

Minimum of 2 years of healthcare actuarial experience and should be working toward an ASA certification

Demonstrated experience designing, evaluating or operating within value-based payment models across lines of business

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

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

Ability and interest to build trust with clients and grow personal network

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