Health Actuary- Senior Manager

Specialty/Competency: BenefitsIndustry/Sector: Health ServicesTime Type: Full timeTravel Requirements: Up to 40%At PwC, our people in workforce consulting focus on providing consulting services related to human resources, talent management, and organisational development. They analyse client needs, develop people and organisation strategies. These individuals offer guidance and support to help clients optimise their workforce, enhance employee engagement, and drive organisational effectiveness.Those in rewards and benefits at PwC will specialise in providing comprehensive consulting services related to total rewards, compensation programmes, and employee benefits. You will work closely with clients to analyse their reward and benefits strategies, design competitive and equitable compensation structures, and develop cost-effective and attractive benefits packages.Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm.Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:

Craft and convey clear, impactful and engaging messages that tell a holistic story.

Apply systems thinking to identify underlying problems and/or opportunities.

Validate outcomes with clients, share alternative perspectives, and act on client feedback.

Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations.

Deepen and evolve your expertise with a focus on staying relevant.

Initiate open and honest coaching conversations at all levels.

Make difficult decisions and take action to resolve issues hindering team effectiveness.

Model and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.

As a PwC Healthcare Consulting Actuary, you will be part of our exciting growing team that provides strategic, analytic and technical support to our payer and provider clients. The healthcare sector continues to evolve and as such, our clients look to us to support them in redefining their strategy and thinking to maintain market share, margins, and to achieve cost savings.Basic QualificationsMinimum Degree Required (BQ)Bachelor's DegreeRequired Field(s) of Study (BQ)Actuarial Science,Mathematical Statistics,Mathematics,Statistics,Finance,Economics and Finance,Economics,Public Policy Analysis,Business Administration/ManagementMinimum Year(s) of Experience (BQ)7 year(s)Preferred QualificationsDegree PreferredMaster's DegreeCertification(s) PreferredASA Designation and/or FSA DesignationPreferred Knowledge/SkillsDemonstrates in-depth abilities and/or a proven record of success as a team/functional leader in the Payer and/or Provider industries including:

Leading 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 risk adjustment;

Interpreting and applying regulatory requirements and standards to help clients meet both compliance and strategic objectives; and,

Employing entrepreneurial capability to help identify and evaluate new business opportunities and continuously innovate and improve processes and products.

Demonstrates in-depth abilities and/or a proven record of success in the following areas:

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

Writing medical cost and risk adjustment analytics using SAS to help clients identify sources of value;

Analyzing of a company’s financial statements finding opportunities to enhance their reporting;

Supporting mergers and acquisitions by evaluating a target’s financial statements and developing a quality of earnings adjustment as well as providing insight into the target’s expected future earnings potential;

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

Researching business and industry trends to develop a point of view to leverage in assisting with proposals, considering opportunities across multiple lines of service.

Demonstrates in-depth abilities and/or a proven record of success with automation & digitization in a professional services environment including:

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

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

Supporting Value Based Care contracting and analytics for payers, providers, and health services organizations;

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

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

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 engagements; and,

Knowledge of alternative fee arrangements, including the use of pricing tools, to provide a point of view on pricing strategies.

Learn more about how we work: https://pwc.to/how-we-workPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.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.For positions based in San Francisco, consideration of qualified candidates with arrest and conviction records will be in a manner consistent with the San Francisco Fair Chance Ordinance.The salary range for this position is: $130,000 - $256,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance#LI-Hybrid