Health Actuary Consultant- Senior Associate

Certification(s) Preferred:

4+ Actuarial Exams

Preferred Knowledge/Skills:

Demonstrates thorough level abilities and a proven record of success as a team/functional contributor in the Payer and/or Provider industries, including:

• Contributing to 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;
• Helping companies define and evaluate corporate and business unit strategies and investment portfolios; and,
• Analyzing market, competitive, and other external drivers.

Demonstrates thorough level abilities and a proven record of success in the following areas:

• 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;
• Analyzing a company’s financial statements finding opportunities to enhance their reporting;
• 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;
• Completing IBNR reserve analyses and assessing actuarial balances as part of year-end financial audits for health and life insurance companies; and,
• Researching business and industry trends to develop a point of view to leverage in assisting with proposals and opportunities across multiple lines of service.

Demonstrates through level abilities and a proven record of success with automation & digitization in a professional services environment, including:

• Analyzing clients’ medical claim data to understand historical trends and suggest opportunities to implement savings initiatives;
• Evaluating a client’s end-to-end risk adjustment process, evaluating the return on investment for each operational activity and vendor;
• Supporting Value-Based Care contracting and analytics for payers, providers, and health services organizations;
• Developing predictive analytics to help identify gaps within a health plan’s coding procedures and optimize its revenue stream;
• Creating a strategic roadmap with clients entering a new line of business or market, including the development of a proforma;
• 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; and,
• Identifying alternative fee arrangements, including pricing tools, to provide a point of view on pricing strategies.

Travel Requirements

Up to 60%

Job Posting End Date

The salary range for this position is: $77,000 - $202,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance

As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.

Learn more about how we work: https://pwc.to/how-we-work

For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.