Health Care Actuarial Consultant
Commercial Employer HealthStop LossHealth OtherPricing & RatingReserving & ValuationProduct Development & Plan Design
Role Summary
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Senior healthcare actuarial consultant (Health) supporting employers, insurers, providers and stop-loss clients. Lead pricing, reserving and actuarial model development, deliver client-facing analyses, and mentor junior staff. Role based in the United States with consulting firm Risk Strategies.
JOB DESCRIPTION SUMMARY
- Client-facing healthcare actuarial consulting for employers, insurers, providers
- Perform reserving, pricing and financial modeling for first-dollar and stop-loss
- Develop scalable actuarial models and support actuarial standard methodologies
- Build quantitative models using SQL, SAS, and VBA
- ASA or FSA required; mentoring junior team members and peer review duties
DOMAIN EXPERTISE
- commercial healthcare and stop-loss markets
- health & welfare benefits actuarial consulting and underwriting
- care/utilization management and ROI or program evaluations
- reserving, pricing and financial modeling for first-dollar and stop-loss
- pharmacy/PBM pricing and pharmaceutical specialty drug knowledge
KEY REQUIREMENTS
- ASA or FSA designation required
- Bachelor's degree in mathematics, statistics, actuarial, data science, or related field
TECH STACK
- No tech stack specified
