Senior Consulting Actuary - VBP

Wakely is seeking a Senior Consulting Actuary with expertise in VBP across lines of business, with a focus on Medicare fee-for-service ACOs and Medicare Advantage. This individual will play a key role in business development, leading client engagements, managing internal workflows across various teams, strategic planning, and mentoring the next generation of consultants and 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 work appropriately to keep work efficient, encourage growth of team members, and to provide guidance and constructive feedback to team members
  • Ensure quality o
  • f deliverables, to meet client expectations
  • Learn Wakely Tools and Products for the VBC entities
  • Assist with business development opportunities, such as responding to Request-For-Proposals (RFPs), presenting at conferences, and other opportunities
  • Train team members on VBP concepts and financial modeling standard practices
  • Collaborate across internal teams, such as risk adjustment, Medicare Advantage, Medicaid, ACA, and CMS/CMMI model teams
• What We’re Looking For:
  • Demonstrated experience designing, evaluating or operating within value-based payment models across lines of business
  • Strong technical expertise in claims analysis, risk adjustment, and forecast 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

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.

• 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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