Consulting Actuary II - ACA Risk Adjustment

Wakely is seeking a Consulting Actuary with expertise in ACA risk adjustment in both analytics and operations. This individual will play a key role in leading client engagements, managing internal workflows across various teams, strategic planning with senior leaders, and mentoring the next generation of analysts.

Key Responsibilities:

• Lead and manage client communication, working with multiple experts including non-actuarial staff to piece together and explain complex concepts in a clear and concise manner to clients
• Manage timeliness of project deliverables by creating, updating, and executing project timelines
• Delegate and train junior staff on performing actuarial analysis as it relates to risk adjustment operations
• Learn Wakely Tools and Products
• Assist with business development opportunities, such as responding to Request-For-Proposals (RFPs)
• Train analysts on risk adjustment modeling including but not limited to risk adjustment transfer calculations, and review analysts work product
• Collaborate across internal teams, such as ACA pricing actuaries, to deliver integrated, forward-thinking solutions

What We’re Looking For:

• Demonstrated experience with ACA risk adjustment operations and accrual setting
• Strong technical expertise in claims analysis, risk adjustment, and analytics modeling.
• Strategic thinker who anticipates market and regulatory changes and translates them into actionable client strategies.
• Ability and interest to build trust with clients and grow personal network.
• Passion for mentoring and developing actuarial talent.
• Excellent communication skills and ability to work effectively across cross-functional teams.

Job Summary

A Consulting Actuary II is responsible for supporting the Wakely’s strategic growth by learning about new business development and product opportunities. In addition, the position will work to effectively apply the principles of project management and client relations. 

Work Performed and Job Requirements

• Client Management - Maintain Client Relationships
  • Foster opportunities to promote Wakely tools, services, and products.
  • Implement a strategic plan consistent to client needs.
  • Increase client interaction skills by partnering with client lead on key initiatives.
  • Identify and implement changes to avoid potential compliance risk.
• Project Management - Manage Project According to Defined Plan
  • Create and communicate a project plan to include scope, goals, timelines, and billed hours. 
  • Manage, adjust, and communicate plan internally/externally throughout project.
  • Deliver high quality work (conceptual & technical) within budget and timeline constraints.
  • Organize and set priorities for assigned work.
• Professional/Industry Development – Gain and Sustain Professional/Industry Knowledge
  • Continue exam progression towards FSA.
  • Seek a deeper knowledge of multiple healthcare concepts and become known for expertise in a particular area.
  • Identify and facilitate learning opportunities for project team and/or individuals.
  • Create core materials, reference items and training programs.
• New Business Development – Implement New Business Growth Strategies
  • Represent Wakely’s brand through involvement in seminars/events and periodicals, etc.
  • Learn and execute on new business and/or product lines.
  • Contribute to new marketing initiatives to generate sales leads.
  • Support and identify value added services to current clients.
• Internal Operations - Apply Best Business Practices
  • Apply operational improvement initiatives.
  • Incorporate policies and procedures related to cross office collaboration into projects.
  • Recruit top talent and participate in the selection and orientation process. 
  • Participate in community and professional volunteer activities/opportunities.

Education/Training

Minimum of an ASA certification and a bachelor’s degree in actuarial science, mathematics, or statistics required.

Experience

Minimum of 4 years of healthcare actuarial experience, including Medicare, commercial ACA, and/or Medicaid lines of business, required.

Knowledge, Skills, and Abilities

• Working knowledge of database/statistical analysis language (SQL/SAS), Microsoft Excel and Access.
• 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)

#LI-BR1