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Job Details

Health Actuarial Manager - Payers and Providers

Company name
PricewaterhouseCoopers LLP.

Chicago, IL, United States

Employment Type

Actuarial, Manager

Posted on
Jan 30,2019

Valid Through
May 15,2019

Apply for this job


A career in our Benefits practice, within People and Organisation Consulting services, will provide you with the opportunity to help our clients reset their talent strategies and deliver extraordinary business results through their people. We focus on evaluating and managing their unique challenges so our clients can maximise their return on the overall investment in human capital. You’ll gain a tremendous depth of expertise in all aspects of human capital, including creating sustainable value through people culture and change, designing compensation and retirement strategies, and improving human capital operations.

Our team helps our clients evaluate, redesign, implement and manage their health and welfare and retirement benefits programmes. You’ll help our clients with active and retiree plan performance management, vendor selection, provider strategy, financial reporting and cost driver analysis, private exchange and drug benefit evaluation.


As a Manager, you’ll work as part of a team of problem solvers with extensive consulting and industry experience, helping our clients solve their complex business issues from strategy to execution. Specific responsibilities include but are not limited to:

Proactively assist in the management of a portfolio of clients, while reporting to Senior Managers and above

Be involved in the financial management of clients

Be actively involved in business development activities to help identify and research opportunities on new/existing clients

Contribute to the development of your own and team’s technical acumen

Develop strategies to solve complex technical challenges

Assist in the management and delivering of large projects

Train, coach, and supervise staff

Keep up to date with local and national business and economic issues

Continue to develop internal relationships and your PwC brand

Preferred skills

This position provides opportunities to engage in unique projects, grow professionally and develop innovative service offerings. With team members located across the US, there are many opportunities to work with a diverse set of clients. At times you may be brought in as a subject matter expert, other times you may lead the project end to end. There is always an engagement that will highlight your strengths and further developing your experience. Job Requirements and Preferences : Basic Qualifications : Minimum Degree Required :Bachelor Degree Required Fields of Study :Finance, Business Administration/Management, Actuarial Science, Statistics, Mathematics, Economics Minimum Years of Experience :5 year(s) Certification(s) Required : Associate of Society of Actuaries (ASA) Preferred Qualifications : Certification(s) Preferred :One or more of the following certifications are required for this role: CPA, Enrolled Agent, Member of the Bar, Certified Equity Professional, Certified Pension Consultant, CCP, CPP, GRP, QKA, QPA, Licensed Insurance Consultant, Licensed Pharmacist, Associate, Society of Actuaries, Certified Employee Benefits Specialist, Chartered Financial Analyst, SPHR, Enrolled Actuary, Fellow, Life Management Institute, Fellow, or Society of Actuaries Preferred Knowledge/Skills :Demonstrates proven extensive knowledge of, and/or success in roles directing 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 compliance.

Organizational skills and ability to manage multiple projects and deadlines

Excel and database/statistical analysis language (SQL or SAS)

Communication skills and ability to work with management and senior level executives

Ability to help identify client issues and resources needed to solve problems

Analytical thinking skills to evaluate analyses for communication to clients

Experience with Medicare, Medicaid, commercial and/or supplemental health products

Some sample engagements and responsibilities include:

Analyze clients medical claim data to understand historical trends and suggest opportunities to implement savings initiatives

Evaluate a client’s end-to-end risk adjustment process, and the return on investment for each operational activity and vendor

Develop predictive analytics to help identify gaps within a health plan’s coding procedures and optimize their revenue stream

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

Analyze a company’s financial statements, and identify opportunities to enhance reporting

Support payers and providers as they move down the value based care continuum and identify impacts to their cost structure and operations

Support mergers and acquisitions by evaluating a target’s financial statements and develop a quality of earnings adjustment to provide insight into the target’s expected future earnings potential

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

As an actuarial technical professional, demonstrates ability to research business and industry trends to develop a point of view to leverage in assisting with proposals, considering opportunities across multiple lines of service

Demonstrates knowledge of automation & digitization in a professional services environment including but not limited to:- 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 engagementsKnowledge of alternative fee arrangements, including the use of pricing tools, to provide a point of view on pricing strategies.We are transforming the way we deliver tax services. Find out more about what we do on our Tax Career Page at

All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.

All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law.

Company info

PricewaterhouseCoopers LLP.
Website :

Company Profile
PwC helps organisations and individuals create the value they’re looking for. We’re a network of firms in 158 countries with more than 180,000 people who are committed to delivering quality in assurance, tax and advisory services. Tell us what matters to you and find out more by visiting us at PwC refers to the PwC network and/or one or more of its member firms, each of which is a separate legal entity. Please see for further details. "PwC" is the brand under which member firms of PricewaterhouseCoopers International Limited (PwCIL) operate and provide services. Together, these firms form the PwC network. Each firm in the network is a separate legal entity and does not act as agent of PwCIL or any other member firm. PwCIL does not provide any services to clients. PwCIL is not responsible or liable for the acts or omissions of any of its member firms nor can it control the exercise of their professional judgment or bind them in any way.

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