Consulting Actuary - Risk Adjustment (ACA)

Wakely, an HMA company, is seeking a highly motivated Consulting Actuary with specialized experience in Affordable Care Act (ACA) risk adjustment analytics. This role will assist senior leaders on client engagements, manage project teams, design and implement solutions with senior leader’s direction, and support the continued growth of Wakely’s risk adjustment offerings. The ideal candidate brings strong knowledge of ACA risk adjustment including experience in setting risk accruals, working with EDGE data and risk adjustment operational teams, project management skills, and the ability to prepare communication of complex concepts.

Key Responsibilities:

• Client Leadership & Communication:
• Serve as a mid-level project manager, aligning the vision of senior consultants to design and implementation by team of analysts, prepare and communicate findings effectively.
• Project & Team Leadership:
• Develop and manage project plans, timelines, workflows, and deliverables across multiple engagements while mentoring junior staff and maintaining high-quality work.
• Risk Adjustment Analytics:
• Lead ACA risk adjustment analyses, including accrual development, EDGE data evaluation, provide strategic support to health plan executives, and assessments of financial and operational impacts.
• Client Deliverables & Presentations:
• Maintain work quality of final deliverable by leading technical reviews and providing input on conceptual reviews
• Draft clear, actionable deliverables and assist in presentation of results, recommendations, and risk adjustment concepts to client leadership.
• Product & Methodology Proficiency:
• Apply Wakely tools, products, methodologies, and risk adjustment expertise to address client needs and support internal initiatives.
• Business Development Support:
• Assist senior consultants on requests for proposals, proposal development, strategic scoping discussions, service innovation, and the growth of Wakely’s risk adjustment offerings.
• Market & Regulatory Insight:
• Monitor ACA risk adjustment developments and provide updates to clients and internal team on strategic considerations.
• Cross-Functional Collaboration:
• Coordinate with actuarial, coding, operations, data analytics, and other multidisciplinary teams to deliver comprehensive client solutions.

What We're Looking For:

• Demonstrated experience managing workflow and design of ACA risk adjustment analytics within a health plan or through strategic risk adjustment consulting engagements.
• Deep understanding of the ACA risk adjustment program and its impact on health plan rate filings and financial performance.
• Strong knowledge of the full risk adjustment lifecycle, including coding, submissions, analytics, provider engagement, and regulatory requirements.
• Proven ability to manage projects, workflows, timelines, and deliverables across multiple engagements.
• Appetite to learn from senior leaders to anticipate market or regulatory changes and translate them into actionable client recommendations.
• Ability to build trusted client relationships and communicate complex technical, analytical, and operational concepts clearly to senior leadership.
• Demonstrated initiative to manage, maintain accountability, and use sound judgment in client and team interactions.
• Commitment to mentoring team members and contributing to a collaborative learning environment.
• Excellent written and verbal communication skills, with proven success working across cross-functional and multidisciplinary teams.

Job Summary

The Consulting Actuary I is responsible for supporting Wakely’s strategic growth by learning about new business development and product opportunities. In addition, the position will work to effectively apply the principals 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 a bachelor’s degree in actuarial science, math, statistics, or related field required. Must be a credentialed ASA.

Experience

Minimum of 2 years of healthcare actuarial 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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