Senior Associate Actuary – Healthcare

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead intricate actuarial and financial consulting projects for government entities, health plans, and public-sector clients.

• Create actuarial models, financial forecasts, and scenario analyses to assess the fiscal implications of policy, programmatic, and benefit design modifications.

• Examine claims, encounter, utilization, cost, and financial data to uncover trends, cost drivers, risks, and areas for enhancement.

• Assist with Medicaid reimbursement research, provider rate determination, value-based payment initiatives, and healthcare financing endeavors.

• Conduct actuarial analyses pertaining to employee benefits, reserve sufficiency, and healthcare program sustainability.

• Formulate actuarially sound rate methodologies and assess reimbursement models, including fee-for-service, capitation, bundled payment, and alternative payment structures.

• Compile technical reports, actuarial memoranda, financial forecasts, and presentations for executive audiences.

• Counsel clients on regulatory, legislative, and policy changes impacting healthcare financing, employee benefits, and public-sector initiatives.

• Facilitate client meetings, bolster business development efforts, and participate in proposal creation and thought leadership endeavors.

• Mentor actuarial analysts and consultants, offering technical support, quality reviews, and professional development assistance.

• Ensure that deliverables adhere to relevant actuarial standards of practice (ASOPs), professional guidelines, and internal quality assurance protocols.

⛳️ Requirements

• A Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, Data Analytics, or a related discipline is required.

• Over 5 years of experience in actuarial or healthcare financial consulting.

• Associate or Fellow of the Society of Actuaries (ASA/FSA) designation.

• In-depth knowledge of actuarial principles, healthcare financing, financial modeling, and statistical analysis.

• Significant experience in applying actuarial methods to healthcare, employee benefits, Medicaid, Medicare, or other public-sector programs.

• Capability to lead complex projects with a high degree of independence and exercise sound professional judgment.

• Advanced analytical, problem-solving, and quantitative modeling skills.

• Excellent written and verbal communication abilities, with a talent for translating technical concepts into actionable insights.

• Proven leadership, project management, mentoring, and team development capabilities.

• Proficient in actuarial modeling, forecasting, and data analysis tools.

• Experience in supporting public-sector healthcare, employee benefits, Medicaid, Medicare, provider reimbursement, or health plan projects is preferred.

• Must be eligible to work in the United States; PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

🏝️ Benefits

• Medical and dental care benefits.

• 401k plan.

• Paid Time Off (PTO).

• Parental leave.

• Bereavement leave.

• Remote work options.