Health Actuary Consulting Senior Consultant
Health Actuary Consulting Sr. Consultant
Deloitte Consulting s Human Capital practice is a leading global advisor and implementation partner working with companies, governments, and organizations around the world. Our goal is to improve our clients organizational results and impact by focusing on challenges at the intersection of business and people.
Work you ll do
As a Deloitte Consulting Health Actuary Senior Consultant in the Insurance practice of Deloitte s Human Capital group, you will assist Deloitte Managers, Senior Managers and Partners in providing strategic and technical consulting services to health plans, providers, Federal and State governments, PBMs, etc.
At Deloitte, you can be a part of the transformation of the health care sector. Deloitte s health actuaries are participating in the development of evidence based medicine, and the transition of payments from paying for what is done to paying for the value provided. Deloitte health actuaries are involved in designing new programs that are smarter about how public funds are spent. These types of problems require actuaries who are not only technically strong, but also can be innovative, capable of addressing ill defined, complex problems and have a business orientation.
Other responsibilities include:
Individual medical and small group health care reform modeling for health plans
Assist clients and teams to define underwriting policies and perform risk score analysis to reduce selection
Price alternative plan designs and define product strategy
Track lapse and retention rates; define strategies to influence based on data
Prepare and review reserves in support of Deloitte audits of health care liabilities
Align provider contracting strategy with rating trends
Model and calculate ROI for medical management and other health plan initiatives
Prepare and present client presentations and reports
Conduct other health actuarial consulting activities, as required
The Organization Transformation practice is about transforming the organization (and the benefits providers that serve them) to support its business strategy. This involves helping our clients move from where they are today to where they need to be in the future. It could include changing the organization s culture, modernizing specific functions, re-designing the organization structure, and will require a combination of change management actions to execute the transformation. To enable our success, it will be critical to use data and insights to inform better ways of working together.
Bachelor s degree
4 years of health actuary experience
Successfully passed 4 actuarial exams
Willingness to travel at least 50%
4 years of consulting and/or health plan/insurance company experience
Experience leading small to medium sized teams
ASA with progression to FSA, FSA, or career ASA designation
Experience with one or more of the following areas:
oProduct design and/or product strategy
oReimbursement models including value based care/ACO modeling
oRisk adjustment mechanisms
oFamiliarity with group insurance products including disability, long term care, etc.
oMerger and Acquisition experience
oHealth care reform with working knowledge of the individual medical and small group markets and/or state Medicaid programs
oExperience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types
oMedicaid managed care rate setting and other provider reimbursement streams (i.e., DSH, UPL, etc.)
oMedicaid waivers (i.e., 1115, 1915 b/c)
Strong client presence with project management, presentation, and facilitation skills
Ability to succeed in team-based or independent environments
Well-organized with the ability to handle several projects/clients simultaneously
Strong oral and written communication skills
Ability to program using SQL
Proficiency with MS Office products, including Outlook, Word, Excel, PowerPoint
Dedicated work ethic with a commitment to client service excellence
Ability to travel up to 80% for periods of time
How you ll grow
At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there s always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs at Deloitte University, our professionals have a variety of opportunities to continue to grow throughout their career. Explore Deloitte University, The Leadership Center. at ****Benefits
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