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:
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 Qualifications
Minimum Degree Required (BQ)
Bachelor's Degree
Required Field(s) of Study (BQ)
Actuarial Science,Mathematical Statistics,Mathematics,Statistics,Finance,Economics and Finance,Economics,Public Policy Analysis,Business Administration/Management
Minimum Year(s) of Experience (BQ)
7 year(s)
Preferred Qualifications
Degree Preferred
Master's Degree
Certification(s) Preferred
ASA Designation and/or FSA Designation
Preferred Knowledge/Skills
Demonstrates 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.
...home; however, candidates must be based in the Tampa Bay area and available to come to campus as needed.* Job Functions: The Grants Writer researches, writes, and submits grant proposals as assigned. Responsible for performing job duties in accordance with the...
We are Fud, a rapidly growing company looking for a Mompreneur - Airbnb Superhost to join our community. As a Mompreneur - Airbnb Superhost, you will be responsible for leveraging your experience and expertise in the hospitality industry to support and empower our community...
...Opportunity for advancement ~ Paid time off ~ Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for David Snell - State Farm Agent, you are vital to our daily business operations and customers success. You grow...
...provide psychotherapy, counselling, and support to individuals and groups dealing with emotional, behavioral, and social challenges at DOS/DOD facilities in Iraq. Key Responsibilities Conduct comprehensive assessments and diagnoses of mental health disorders and...
...global leader in online test prep materials that helps students excel on high stakes exams, is seeking a first-rate general content editor with a wide range of interests and abilities. In addition to editing the questions and detailed explanations written by our teams...