Senior Actuarial Consultant
Stop LossCommercial Employer HealthHealth OtherPricing & RatingReserving & ValuationPredictive Modelling & ML
Role Summary
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Senior health actuarial consulting role advising healthcare clients across medical, pharmacy and stop-loss. You will lead actuarial projects, build financial and pricing/reserving models, and partner with leadership to scale practice capabilities. Hybrid/remote location not specified; role is based in the United States.
JOB DESCRIPTION SUMMARY
- Senior healthcare actuarial consultant focused on stop loss, medical and pharmacy
- Lead and manage actuarial projects and client engagements
- Build scalable financial, pricing and reserving models
- Advise clients on risk modelling, underwriting and care management ROI
- FSA or ASA required with 15+ years of healthcare actuarial experience
DOMAIN EXPERTISE
- Commercial and medical stop loss markets
- Experience with captives and MEWAs
- Stop loss reserving, pricing and underwriting
- Risk modeling and mitigation for healthcare programs
- Predictive modeling and ROI analyses for care management
KEY REQUIREMENTS
- 15+ years of healthcare actuarial experience
- FSA or ASA designation required
- Bachelor's degree in math, statistics, economics or related field
- Project, client and financial management experience
- Experience with healthcare claims/encounter data sources
TECH STACK
- Excel
- Access
- PowerPoint
