Senior Consulting Actuary - ACA Pricing

Wakely, an HMA company, is seeking a Senior Consulting Actuary with deep expertise in ACA pricing, strategy, and market dynamics. This individual will play a key role in leading client engagements, shaping innovative solutions, and mentoring the next generation of consultants.

The Senior Consulting Actuary I is responsible for managing Wakely’s client relationships by designing and monitoring plans to achieve strategic goals.  In addition, the position will manage actuarial project teams to ensure quality and timely deliverables. This role has supervisory responsibilities.

In this role you will: 

• Lead and certify ACA premium rate filings for individual and small group markets, ensuring compliance with rating rules and regulatory requirements.
• Analyze detailed claim and enrollment data to inform pricing, forecasting, and strategic decision-making.
• Partner with clients to develop and implement product, pricing, and market strategies that respond to regulatory and competitive changes.
• Conceptualize and model the impact of policy shifts and competitor actions on client portfolios.
• Advise on plan design and product development, aligning actuarial insights with client goals.
• Communicate complex findings and recommendations to client executives and stakeholders in a clear, compelling manner.
• Foster strong client relationships while also coaching and developing junior team members.
• Collaborate across teams to deliver integrated, forward-thinking solutions.

What We’re Looking For:

• Demonstrated experience with ACA rating rules and premium rate certification.
• Strong technical expertise in claims analysis, risk adjustment, and market modeling.
• Strategic thinker who anticipates market and regulatory changes and translates them into actionable client strategies.
• Proven ability to build trust with clients and influence decision-making at the leadership level.
• Passion for mentoring and developing actuarial talent.
• Excellent communication skills and ability to work effectively across cross-functional teams.

• Client Management - Develop and Maintain Client Relationships
  • Implement initiatives for Wakely products, tools and services through training and regular meetings
  • Manage and understand individual client needs and develops a strategic plan to meet those needs
  • Manage client relationships to include client visits, ongoing correspondence and feedback
  • Mitigate risk by ensuring client contracts, documentation and processes are followed
• Project Management - Supervise and Account for the Execution of Project Plan
  • Conduct periodic reviews of project plans, final deliverables and post project results
  • Oversee project communication and provide venues for constructive feedback
  • Ensure project team is providing quality deliverables, updates and billing clients within timelines
  • Appropriate delegation of work
• Professional/Industry Development – Gain and Sustain Professional/Industry Knowledge
  • Maintain credentials, signing authority and health care knowledge through continuing education
  • Implement industry training for internal/external initiatives
  • Identify needs and align employee career path plan
  • Manage the creation of additional resources and reference materials
• New Business Development – Seek Opportunities for the Organization's Growth
  • Implement brand recognition through participating in seminars/events and research papers, etc.
  • Generate new business and/or product lines by executing on established action plans
  • Manage new marketing initiatives to generate sales leads
  • Introduce new value add services to current clients
• Internal Operations - Manage Best Business Practice
  • Prioritize and manage operational efficiency initiatives
  • Administer compliance of policies and procedures to ensure cross office collaboration
  • Recruit top talent and participate in the selection and orientation process
  • Oversee and participate in community and professional volunteer activities/opportunities
• All other duties as assigned.

Education

Minimum of a bachelor’s degree in actuarial science, mathematics, economics, or statistics required. FSA designation or ASA designation with additional experience also required.

Experience

Minimum of 8 years of healthcare actuarial experience in one of more of Wakely’s core areas (Medicaid, healthcare reform, ACA, Provider Sponsored Organizations and Medicare Advantage), with at least 2 years of project management or client management experience required.

Knowledge, Skills, and Abilities

• Initiative - Ability to decide in an independent way what actions should be taken
• Effective Communication - Demonstrates the ability to convey thoughts and express ideas effectively, both verbally and written
• Team Player - Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect
• Time Management - Makes reasonable estimates of resources needed to achieve goals or complete projects. Uses methods to plan and track work and commitments
• Continuous Learning - Displays an ongoing commitment to increasing skills
• Leadership - Develops the ability of others to perform and contribute to the organization by providing ongoing feedback and opportunities to learn through formal and informal methods
• Emotional Intelligence - Consistently exercises sound judgment
• Strategic Thinking - Formulates objectives and priorities, and implements plans consistent with the long-term interest of the organization and employees

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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