Health Care Actuarial Consultant

Remote Full-time
Risk Strategies Consulting (RSC) is looking for an Actuarial Consultant to support our clients’ healthcare initiatives and innovations while contributing to the development of our actuarial tools and solutions. In this role, you will collaborate with senior colleagues to lead client interactions and provide high quality deliverables to our large employer, insurer, provider and care solution clients through data-driven insights and strategic actuarial expertise. You will support initiatives that directly impact our clients’ success in managing their risk across their healthcare programs - whether it’s designing innovative products, optimizing pricing strategies or networks, performing actuarial studies such as reserve analyses or evaluating care management models. To succeed in this role, you’ll need strong actuarial and analytical skills, excellent communication and interpersonal skills, and strong project management and organizational abilities. The ideal candidate will be motivated, well-organized, a team player, and a self-starter. Your innovative work will have a direct impact on our clients’ financial strategies and decision-making. Your Impact • Support a diverse range of actuarial or analytical projects and effective client deliverables • Responsible for technical actuarial work and peer review, ensuring timeliness and quality of work • Mentor and develop junior members of actuarial and analytical team • Collaborate with actuarial leadership in the design and execution of complex analyses, ensuring adherence to actuarial standards by selecting appropriate data sources, developing assumptions, recognizing considerations, and providing actionable insights. • Assist in development and implementation of practice development initiatives. • Assist in building scalable and dynamic models and work processes. • Foster strong cross-functional relationships with other RSC teams to ensure accurate, timely teamwork and project execution Successful Candidate Will Have • Bachelors’ degree in mathematics, statistics, actuarial, data science, economics, or a related field • ASA/FSA (Associate or Fellow of the Society of Actuaries) designation required. • 5+ years of healthcare actuarial experience in one or more of the following areas preferred: • Knowledge of commercial healthcare and healthcare stop loss markets and products • Traditional Health & Welfare benefits actuarial consulting (managing overall service delivery, strategy, financial evaluations, plan design changes and employee contributions, renewal, business placement, benchmarking) and underwriting experience • Knowledge of care/utilization management and performing ROI and/or program evaluations and health care economics • Reserving, pricing and financial modeling for both first dollar and medical stop loss • Pharmacy knowledge – PBM pricing, contracts, distribution, and management as well as pharmaceutical companies, specialty drugs • Experience with alternative funding arrangements such as MEWAs and Captives • Experience in actuarial model development • Knowledge of healthcare databases and data sources (claims, encounters, labs, EMR etc.) • Experience building quantitative models in SQL (Structured Query Language), VBA (Visual Basic for Applications), and/or SAS (Statistical Analysis System) At Risk Strategies Company, base pay is one part of our total compensation package, which also includes a comprehensive suite of benefits, including medical, dental, vision, disability, and life insurance, retirement savings, and paid time off and paid holidays for eligible employees. The total compensation for a position may also include other elements dependent on the position offered. The expected base pay range for this position is between $84,200 - $200,000 annually. The actual base pay offered may vary depending on multiple individualized factors, including geographical location, education, job-related knowledge, skills, and experience. Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, Risk Strategies serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and over 5,000 employees across the US and Canada. Our industry recognition includes being named a Best Places to Work in Insurance for the past five years (2018-2022) and on the Inc. 5000 list as one of America’s Fastest Growing Private Companies. We are committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues. Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: www.risk-strategies.com/careers . Personal information submitted by California applicants in response to a job posting is subject to Risk Strategies' California Job Applicant Privacy Notice . Apply tot his job
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