Position Summary
As an Actuarial Senior Manager, you will apply actuarial, strategic, and analytical experience to help clients evaluate business issues, improve decision-making, and support transformation in a rapidly evolving market. This role offers the opportunity to engage with executives across the health care landscape, ranging from health plays to large health systems, and lead teams that drive network coverage decisions, value-based care models and performance, product and pricing, and financial performance.
- Engage with payers and provider clients to support a transition from current models to ones focused on outcomes for patients and members
- Examine the root cause issues for drivers of cost and reimbursement and formulate strategic paths for remediation
- Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives
- Lead actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, review plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients
- Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making
- Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives
- Develop and present reports and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements
- Ability to work independently and collaborate as part of a team
- Effective written and verbal communication skills
- Meticulous attention to detail and quality of work product
- Ability to build and sustain professional relationships
- Ability to lead projects or workstreams
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
- Strong interpersonal skills and professional demeanor
- Ability to meet deadlines
- Ability to mentor and provide clear guidance to others
- Bachelor’s degree
- 10+ years of health actuarial experience
- Associate of the Society of Actuaries (ASA) with progression to Fellow of the Society of Actuaries (FSA), FSA, or career ASA designation
- Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve.
- Limited immigration sponsorship may be available.
- 8+ years of consulting, health plan, or insurance company experience
- 6+ years of experience leading teams
- 6+ years of experience with product design or product strategy
- 6+ years of experience with reimbursement models, including value-based care or accountable care organization (ACO) modeling
- 6+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets
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