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We help resolve complex issues for our clients and identify opportunities. Learn more about us at www.pwc.com/us.
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The PwC network is a global market leader in tax services.
We assist businesses, individuals, and organizations with tax strategy, planning, and compliance, while also delivering a wide range of business advisory services.
With over 32,000 tax professionals, this means that the PwC network can support our clients both locally and globally.
We have experience working with an expansive and diverse client-base, which comprises all types of businesses-multinationals, local companies, privately-owned organizations, entrepreneurs, family businesses, trusts, partnerships, and private individuals.Job Description
As a member of the Healthcare and benefits consulting practice, you will work with healthcare payers, providers, pharmaceutical companies, federal/state/local government agencies and employers on a wide variety of consulting and advisory services to help them evaluate, strategize, develop, and manage their product portfolios, pricing/financial reporting,
risk quantification, provider reimbursement, data analytics, and compliance. You will provide actuarial related services to a wide range of companies, as well as assisting a large number of clients with specific issues that they may have.
Healthcare and Consulting Services for commercial, Medicare and Medicaid programs, including but not limited to:
- Product development / pricing / underwriting / rate filing
- Actuarial valuation, reserve development and financial reporting
- CMS Medicare Advantage and Part D bid pricing analysis
- Regulatory compliance including Affordable Care Act
- Risk adjustment
- Provider reimbursement redesign / contracting / risk sharing
- Vendor selection / implementation
- Vendor / plan performance reviews
- Private exchange strategy assessments
- Enterprise Risk Management / risk assessment & ORSA
- Other actuarial analysis and data analyticsPosition/Program Requirements
Minimum Year(s) of Experience: 3
Minimum Degree Required: Bachelor's degree in Actuarial Sciences, Mathematics, Statistics, Finance, Economics or Business
Certification(s) Required: One or more of the following certifications are required for this role: Associate of the Society of Actuaries (ASA), Fellow of the Society of Actuaries (FSA)
Degree Preferred: Master's degree in Actuarial Sciences, Mathematics, Statistics, Finance, Economics, Public Policy or other analytics-based field
Demonstrates considerable knowledge of, and/or success in roles involving, plan designs, pricing, and compliance/financial reporting aspects of health and welfare plans in a major consulting firm or corporate environment, including the following areas:
- Reviewing and performing health plan and/or actuarial data analyses; and,
- Leveraging a general understanding of healthcare strategy and regulations.
Demonstrates proven thorough abilities and success in roles identifying and addressing client needs: actively participating in client discussions and meetings; communicating a broad range of Firm services; managing engagements including preparing concise, accurate documents and balancing project economics management with the occurrence of unanticipated issues.
Demonstrates proven thorough abilities and success with providing guidance and shows ability to train less experienced team members to support their growth.
Demonstrates proven thorough abilities and success as a team leader: creating a positive environment by monitoring workloads of the team while meeting client expectations and respecting the work-life quality of team members; providing candid, meaningful feedback in a timely manner; and keeping leadership informed of progress and issues.