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Role Summary

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HIGHLIGHTS

Mid-level Health consulting actuary focused on ACA risk adjustment operations and analytics across Medicare, Medicaid, and ACA. You will lead client engagements, manage project timelines, mentor junior analysts, and perform risk-adjustment modeling and accrual setting for US clients. Role is client-facing and involves business development and cross-functional collaboration.

JOB DESCRIPTION SUMMARY

  • Lead client engagements on ACA risk adjustment operations and accruals
  • Perform risk-adjustment modeling and transfer calculations
  • Manage projects, timelines, and delegate/train junior analysts
  • Client-facing role with business development and RFP support
  • ASA required; experience with SQL/SAS, Excel, and Access

DOMAIN EXPERTISE

  • ACA risk adjustment operations and accrual setting
  • Risk adjustment transfer calculations and modeling
  • Claims analysis for health risk adjustment
  • Experience with Medicare, commercial ACA, or Medicaid

KEY REQUIREMENTS

  • ASA certification and bachelor's degree required
  • Minimum 4 years healthcare actuarial experience (Medicare/ACA/Medicaid)
  • Demonstrated ACA risk adjustment operations and accrual setting experience
  • Technical experience in claims analysis and risk-adjustment modeling
  • Proficiency with SQL or SAS and Excel/Access

TECH STACK

  • Excel
  • Access
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Role Summary

Loading...

HIGHLIGHTS

Mid-level Health consulting actuary focused on ACA risk adjustment operations and analytics across Medicare, Medicaid, and ACA. You will lead client engagements, manage project timelines, mentor junior analysts, and perform risk-adjustment modeling and accrual setting for US clients. Role is client-facing and involves business development and cross-functional collaboration.

JOB DESCRIPTION SUMMARY

  • Lead client engagements on ACA risk adjustment operations and accruals
  • Perform risk-adjustment modeling and transfer calculations
  • Manage projects, timelines, and delegate/train junior analysts
  • Client-facing role with business development and RFP support
  • ASA required; experience with SQL/SAS, Excel, and Access

DOMAIN EXPERTISE

  • ACA risk adjustment operations and accrual setting
  • Risk adjustment transfer calculations and modeling
  • Claims analysis for health risk adjustment
  • Experience with Medicare, commercial ACA, or Medicaid

KEY REQUIREMENTS

  • ASA certification and bachelor's degree required
  • Minimum 4 years healthcare actuarial experience (Medicare/ACA/Medicaid)
  • Demonstrated ACA risk adjustment operations and accrual setting experience
  • Technical experience in claims analysis and risk-adjustment modeling
  • Proficiency with SQL or SAS and Excel/Access

TECH STACK

  • Excel
  • Access

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Job Overview

Salary
Salary not specified
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA-qualified health actuary with 4+ years' ACA/Medicare/Medicaid risk-adjustment experience who is client-facing, mentors juniors, and builds models using SQL/SAS and Excel.

ASA

Benefits

Mentorship ProgramConference Support
Shortlist Forming
Closing Soon
63d
63 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
Salary not specified
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Ideal for an ASA-qualified health actuary with 4+ years' ACA/Medicare/Medicaid risk-adjustment experience who is client-facing, mentors juniors, and builds models using SQL/SAS and Excel.

ASA

Benefits

Mentorship ProgramConference Support
Shortlist Forming
Closing Soon
63d
63 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Health/Consultancy/IC Level
Wakely Consulting Group

Consulting Actuary II - ACA Risk Adjustment

Wakely Consulting Group•United States•2mo ago
ACA ExchangeMedicare AdvantageMedicaidCommercial Employer HealthPredictive Modelling & MLBusiness Intelligence & ReportingReserving & Valuation