Health Actuary Senior Consultant (Multiple Locations)

Health Actuary Senior Consultant

Deloitte Consulting's actuarial practice is a leading global advisor and implementation partner working with health plans, insurance companies, healthcare providers, governments, drug and device manufacturers and other organizations around the world. Our goal is to solve our client's most challenging issues by focusing on the unique aspects health care in the 21 st century.

IN MULTIPLE LOCATIONS:

New York, Chicago, Minneapolis, Milwaukee, Philadelphia

Work you'll do

As a Deloitte Consulting Health Actuarial Senior Consultant, you will assist Deloitte Managers, Senior Managers and Partners in providing strategic and technical consulting services to: health plans, healthcare providers, Federal and State governments, PBMs, drug and device manufacturers, group, disability and long-term care (LTC) insurance carriers, among others.

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, adhere to legislative and regulatory requirements, and have a business orientation.

You can be part of actuarial modernization, finance and underwriting transformation, mergers & acquisitions, and modeling efforts for group insurance, disability and LTC carriers. Deloitte's health actuaries are involved in solutioning complex business problems impacting people, processes, and technology.

Other responsibilities may include:

• 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 and assumptions in support of Deloitte audits of health care liabilities (incurred but not reported (IBNR), medical loss ratio (MLR) rebates, risk adjustment, etc.) and group insurance liabilities (IBNR, active life reserves, disabled life reserves, etc.) across various accounting bases

• Align provider contracting strategy with rating trends

• Model and calculate return on investment for medical management and other health plan initiatives

• Review Medicare and Part D bid's data elements for appropriateness

• Prepare and present client presentations and reports

• Assist insurance carriers with the implementation of Long Duration Targeted Improvements for GAAP accounting standards

• Assist insurance carriers and health plans on their finance or data modernization journey

• Assist to modernize the product suite and underwriting capabilities

• Develop models to understand the financial impact of proposed solutions and strategies

• Conduct other health actuarial consulting activities, as required

The team

Actuarial & Insurance Solutions

Deloitte's Actuarial & Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property & casualty insurance companies, health plans, and healthcare providers modernize their operations and manage actuarial costs and risks. This involves helping our clients move from where they are today to where they need to be in the future. To enable our success, we use data and insights to inform better ways of managing risk.

With over 250 credentialed actuaries in the U.S., our A&IS practice is one of the largest in the world. We are recognized as a leader in providing comprehensive, high-quality actuarial consulting, advanced analytics, and risk management services to our clients.

Qualifications

Required:

• Bachelor's degree

• 4+ years of actuarial experience

• Successfully passed minimum of 4 actuarial exams

• Limited sponsorship

• Ability to travel up to 50% , on average, based on the work you do and the clients and industries/sectors you serve

Preferred:

• 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:

• Product design and/or product strategy

• Reimbursement models - including value based care/ACO modeling

• Risk adjustment mechanisms

• Group insurance products including disability, group life, dental, supplemental health, LTC, etc.

• Merger and Acquisition experience, including actuarial appraisal development

• Long Duration Targeted Improvements for GAAP accounting standards

• Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types

• Medicaid managed care rate setting and other provider reimbursement streams (i.e., DSH, UPL, etc.)

• Medicaid 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, Teams, Word, Excel, and PowerPoint

• Experience with major actuarial valuation and projection systems such as PolySystems, AXIS, Prophet, etc.

• Dedicated work ethic with a commitment to client service excellence

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