Health Insurance Actuary Associate Details

Health Insurance Actuary Associate

PRICE WATERHOUSE COOPERS - Chicago, IL

Employment Type : Full-Time

A career in our Benefits practice, within People and Organisation Consulting services, will provide you with the opportunity to help our clients reset their talent strategies and deliver extraordinary business results through their people. We focus on evaluating and managing their unique challenges so our clients can maximise their return on the overall investment in human capital. You’ll gain a tremendous depth of expertise in all aspects of human capital, including creating sustainable value through people culture and change, designing compensation and retirement strategies, and improving human capital operations.

Our team helps our clients evaluate, redesign, implement and manage their health and welfare and retirement benefits programmes. You’ll help our clients with active and retiree plan performance management, vendor selection, provider strategy, financial reporting and cost driver analysis, private exchange and drug benefit evaluation.

To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.

As an Associate, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:

• Invite and give in the moment feedback in a constructive manner.
• Share and collaborate effectively with others.
• Identify and make suggestions for improvements when problems and/or opportunities arise.
• Handle, manipulate and analyse data and information responsibly.
• Follow risk management and compliance procedures.
• Keep up-to-date with developments in area of specialism.
• Communicate confidently in a clear, concise and articulate manner – verbally and in the materials I produce.
• Build and maintain an internal and external network.
• Seek opportunities to learn about how PwC works as a global network of firms.
• Uphold the firm's code of ethics and business conduct.

As a PwC Healthcare Consulting Actuary, you will be part of our exciting growing team that provides strategic, analytic and technical support to our payer, provider & government clients (PPG) and our employer clients. The healthcare sector has fundamentally transformed over the last 5 years and as such, our clients look to us to support them in redefining their strategy and thinking to maintain market share, margins, and to achieve cost savings.

Job Requirements and Preferences:

Basic Qualifications:

Minimum Degree Required:
Bachelor Degree

Minimum Years of Experience:
1 year(s)

Preferred Qualifications:

Preferred Fields of Study:
Actuarial Science, Statistics, Mathematical Statistics, Mathematics, Analytics, Finance, Public Policy Analysis, Economics

Certification(s) Preferred:

1+ Actuarial Exam

Preferred Knowledge/Skills:

Demonstrates some abilities and/or a proven record of success as a team member in roles supporting functions or projects involving actuarial aspects of commercial and government programs and issues in a major consulting firm or corporate environment, emphasizing areas that include pricing/underwriting, health plan financial reporting, data analysis, and risk adjustment.

Demonstrates some abilities and/or a proven record of success as a team member of the Payer or Provider industries including knowledge of and/or success in professional services or corporate roles, helping companies define and evaluate corporate and business unit strategies and investment portfolios, reflecting market, competitive and other external drivers.

Demonstrates some abilities and/or a proven record of success as a team member with:

• Using Excel and database/statistical analysis language (SQL or SAS) is a plus;
• Understanding actuarial aspects of commercial and government healthcare programs;
• Helping identify client issues and resources needed to solve problems;
• Using analytical thinking skills to evaluate analyses for communication to clients;
• Analyzing clients medical claim data to understand historical trends and suggest opportunities to implement savings initiatives;
• Evaluating a client’s end-to-end risk adjustment process, evaluating the return on investment for each operational activity and vendor;
• Analyzing a company’s financial statements finding opportunities to enhance their reporting or allocation of administrative expenses;
• Supporting payers and providers as they move down the value based care continuum, identifying impacts to their cost structure and operations;
• Supporting mergers and acquisitions by evaluating a target’s financial statements and developing a quality of earnings adjustment as well as providing insight into the target’s expected future earnings potential;
• Developing and utilizing pricing models to help clients forecast earnings, budgets and pro-formas as well as certify rate filings;
• Completing IBNR reserve analyses and assess actuarial balances as part of year-end financial audit for health and life insurance companies;
• Researching business and industry trends to develop a point of view to leverage in assisting with proposals, considering opportunities across multiple lines of service;
• Innovating through new and existing technologies, along with experimenting with digitization solutions;
• Working with large, complex data sets to build models and leverage data visualization tools to provide insights to clients;
• Working independently and within a team; and,
• Being client focused and results oriented.

All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.