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Role Summary

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HIGHLIGHTS

Senior health consulting actuary focused on value-based payment (VBP) models, especially Medicare fee-for-service ACOs and Medicare Advantage. You’ll lead client engagements, design and evaluate VBP programs, and manage project teams across Medicaid, ACA, and MA lines. This supervisory role includes business development, mentoring, and cross-functional collaboration in the US.

JOB DESCRIPTION SUMMARY

  • Lead client engagements and manage deliverables for VBP projects
  • Design, evaluate, and monitor value-based payment models
  • Provide technical expertise in claims analysis, risk adjustment, forecasting
  • Supervise, mentor, and delegate work to actuarial teams
  • Participate in business development and industry presentations

DOMAIN EXPERTISE

  • Designing or operating value-based payment models
  • Medicare Advantage and Medicare ACO experience
  • Claims analysis and risk adjustment
  • Forecast and financial modeling for health programs

KEY REQUIREMENTS

  • Minimum 8 years of healthcare actuarial experience
  • FSA designation or ASA with additional experience required
  • At least 2 years of project or client management experience
  • Experience with Medicare Advantage, Medicaid, ACA, and VBP models
  • Technical skills in claims analysis, risk adjustment, and forecasting

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

Senior health consulting actuary focused on value-based payment (VBP) models, especially Medicare fee-for-service ACOs and Medicare Advantage. You’ll lead client engagements, design and evaluate VBP programs, and manage project teams across Medicaid, ACA, and MA lines. This supervisory role includes business development, mentoring, and cross-functional collaboration in the US.

JOB DESCRIPTION SUMMARY

  • Lead client engagements and manage deliverables for VBP projects
  • Design, evaluate, and monitor value-based payment models
  • Provide technical expertise in claims analysis, risk adjustment, forecasting
  • Supervise, mentor, and delegate work to actuarial teams
  • Participate in business development and industry presentations

DOMAIN EXPERTISE

  • Designing or operating value-based payment models
  • Medicare Advantage and Medicare ACO experience
  • Claims analysis and risk adjustment
  • Forecast and financial modeling for health programs

KEY REQUIREMENTS

  • Minimum 8 years of healthcare actuarial experience
  • FSA designation or ASA with additional experience required
  • At least 2 years of project or client management experience
  • Experience with Medicare Advantage, Medicaid, ACA, and VBP models
  • Technical skills in claims analysis, risk adjustment, and forecasting

TECH STACK

  • No tech stack specified

Job Overview

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

Ideal Candidate Profile

Ideal for a senior healthcare actuary (FSA or ASA+experience) with 8+ years in Medicare/Medicaid VBP work who excels at risk-adjustment, forecasting, client leadership, and mentoring teams.

FSAASA

Benefits

Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

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

Ideal Candidate Profile

Ideal for a senior healthcare actuary (FSA or ASA+experience) with 8+ years in Medicare/Medicaid VBP work who excels at risk-adjustment, forecasting, client leadership, and mentoring teams.

FSAASA

Benefits

Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Health/Consultancy/Manager Level
Wakely Consulting Group

Senior Consulting Actuary - VBP

Wakely Consulting Group•United States•4h ago
Medicare AdvantageMedicaidACA ExchangeProduct Development & Plan DesignPredictive Modelling & MLBusiness Intelligence & Reporting

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