Senior Healthcare Actuarial Consultant

2 weeks ago

Atlanta, United States Guidehouse Full time

Job Family:
Finance & Accounting Consulting

Travel Required:
Up to 25%

Clearance Required:
None

Role Overview:
Guidehouse is enhancing its actuarial expertise within its provider/payer strategic consulting practice. We invite you to be part of a dynamic team led by a senior actuary to launch this innovative solution. As a Senior Healthcare Actuarial Consultant, you will oversee projects from inception to completion in a fast-paced setting.


Your responsibilities will include managing the designated project team and facilitating the daily management of client relationships.


You are expected to effectively develop and oversee project execution, planning, staffing, deadlines, and budgets while managing multiple projects concurrently.

Deliverables are anticipated to be of high quality and ready for client presentation.


In this prominent role, you will lead team meetings and mentor, manage, and coach Consultants and Senior Consultants, providing constructive feedback on their project involvement and overall career growth.


Senior Consultants collaborate closely with Associate Directors, Directors, and Partners to keep them informed of project progress and significant developments, as well as to integrate guidance and engagement recommendations.

Additionally, Senior Consultants participate in sales initiatives and Practice Development, with opportunities to support both Medicaid and Commercial clients.


Projects will encompass actuarial modeling tasks such as developing healthcare projections, analyzing risk adjustment impacts, and designing and evaluating value-based contracts and other risk-sharing models for our clients.

As a Senior Healthcare Actuarial Consultant, you will ensure the creation and validation of quality deliverables in the following areas:

- Reviewing and supporting the development of innovative alternative payment models (APMs), value-based payments (VBPs), and other pilot program models
- Capitation rate development
- Risk adjustment calculations of premium
- Development of budget projections
- Other ad hoc actuarial modeling as required
Guidehouse promotes career development and long-term hiring.

Senior Consultants follow a clearly defined career path.

Qualifications:


Completion of at least four actuarial exams, with the intent and capability to progress to ASA or FSA. A Bachelor's degree or higher in Actuarial Science, Economics, Finance, Insurance, Mathematics, Risk Management, Statistics, or a related field.

At least 5 years of professional experience, including:
- Analysis and summarization of data using spreadsheets.
- Knowledge of actuarial and statistical modeling techniques
- Proven ability to manage multiple projects and tasks.
- Proficiency in Microsoft Office Suite (especially Excel and PowerPoint)

Strong written and verbal communication skills.

Preferred Qualifications:

- Working knowledge of APM and/or VBP models in developing health claims projections
- Problem-solving abilities, critical thinking skills, and the capability to model from a blank sheet of paper rather than relying on previously developed models.
- Knowledge of risk adjustment methodologies
- Intellectual curiosity and the ability to draw complex conclusions from data.

- Familiarity with Business Analytics software such as PowerBI, Access, SAS or R, and/or SQL
- ASA or FSA designation
The annual salary range for this position is competitive.

Compensation decisions are influenced by a variety of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:
Guidehouse provides a comprehensive total rewards package that includes competitive compensation and a flexible benefits package reflecting our commitment to fostering a diverse and supportive workplace.

Benefits include:


- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave and Adoption Assistance
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Student Loan PayDown
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
- Mobility Stipend
About Guidehouse: Guidehouse is an Equal Employment Opportunity / Affirmative Action employer.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance.

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