Deloitte Health Actuary Senior Consultant in Jersey City, New Jersey
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.
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
Individual medical and small group health care reform modeling for health plans
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
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.
4+ years of actuarial experience
Successfully passed minimum of 4 actuarial exams
Ability to travel up to 50%, on average, based on the work you do and the clients and industries/sectors you serve
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
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.A reasonable estimate of the current range is $113,000 to $210,000.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.