Health Care Actuarial Senior Consultant/Federal (Consulting)

Deloitte Consulting LLP
Deloitte Consulting LLP is one of the world's leading management consulting firms for executable strategy, operations, technology, and human capital advisory services. The consulting practice is built around integrated core capabilities - people, process and technology and industry expertise - the capabilities needed to help clients to tackle their most complex challenges.
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Deloitte Consulting LLP (Deloitte) is looking for a health care actuarial consultant to serve in a Senior Consultant role in its Federal practice. In this position, the candidate will assist Deloitte Manger, Senior Managers and Partners in providing strategic, analytic and technical actuarial consulting services to Federal government clients.
Representative responsibilities include:
Individual medical and small group health care reform modeling.
Assist clients and teams to define underwriting policies and perform risk score analysis to reduce selection
Price alternative plan designs and define product strategy
Prepare and review reserves in support of Deloitte & Touche audits of health care liabilities
Align provider contracting strategy with rating trends
Model and calculate ROI for medical management and other health plan initiatives
Prepare and present client presentations and reports
Conduct other health actuarial consulting activities, as required
Preferred Qualifications of the ideal candidate include:
4+ years of consulting and/or health plan/insurance company experience and/or Federal/State government agency experience.
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
Familiarity with group insurance products including disability, long term care, etc.
Merger and Acquisition experience
Health care reform with working knowledge of the individual medical and small group markets and/or state Medicaid programs
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, Word, Excel, PowerPoint
Dedicated work ethic with a commitment to client service excellence
Ability to travel up to 20% for periods of time
Required Qualifications:
Undergraduate degree
Willingness to travel at least 20%
4 +years of health actuarial experience
4 +actuarial exams completed
Experience working in a team environment
All candidates must be eligible to obtain a United States security clearance
About Deloitte
As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. Certain services may not be available to attest clients under the rules and regulations of public accounting.
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.
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