Consulting Actuary - REMOTE
Health Services Advisory Group, Inc.

Atlanta, Georgia

This job has expired.


Job Details

SUMMARY
HSAG is nationally recognized as an industry leader in the areas of healthcare data analysis, program evaluation, and quality improvement. We are in search of talented individuals who are interested in a leadership position as a Consulting Actuary in HSAG's Data Science & Advanced Analytics (DSAA) division. Together we can spread positive change to make healthcare better.
UNIQUE BENEFITS
The Consulting Actuary position benefits from HSAG's desire to grow its staff into future leaders of healthcare program evaluation and quality improvement in the nation. The Consulting Actuary position provides actuarial direction within the DSAA division across the entire array of healthcare projects involving cost-effectiveness and actuarial analyses. The Consulting Actuary position will serve as a key member of the growing Actuarial Team within the DSAA division, working closely with the Senior Director, Actuarial Sciences, the Executive Technical Director, and the Chief Data Officer.
DESCRIPTION
The Consulting Actuary position is a key leader responsible for providing actuarial input on HSAG's broad spectrum of healthcare projects. This position will develop and oversee projects related to program evaluation, cost-effectiveness, and budget neutrality. This position will also lead multiple teams of analytic staff that provide healthcare decision and policy makers with actionable results that can be leveraged to transform healthcare delivery and reimbursement. The Consulting Actuary position will lead work that involves (but is not limited to) a wide array of different healthcare projects:
  • waiver evaluations
  • independent assessments
  • budget neutrality
  • cost-effectiveness
  • risk adjustment
  • reimbursement models
  • value-based purchasing
    Additionally, this position manages multiple large-scale and high-profile healthcare projects through various stages including implementation, day-to-day management, budgeting, forecasting, analysis, and reporting. Activities include managing multiple teams in developing work plans and timelines; leading and overseeing project tasks; leading client teleconferences and meetings; presenting on healthcare topics; supervising and/or mentoring junior staff; and providing regular progress reports to the Executive Technical Director and Chief Data Officer.
    Details regarding potential project assignments and key sources of data will be discussed with potential candidates during the interview process.
    ESSENTIAL COMPETENCIES, DUTIES, AND RESPONSIBILITIES
    • Serve as a senior leader within HSAG's DSAA division.
    • Act in a liaison capacity between HSAG and outside agencies and organizations.
    • Oversee communication with project partners, subcontractors, and other entities.
    • Assign and oversee actuarial activities.
    • Develop and adhere to actuarial project time and task schedules, identify opportunities to improve the project process, and develop quality improvement activities accordingly.
    • Lead multiple large-sized actuarial tasks or projects simultaneously.
    • Present and communicate project results to nonanalytic staff members and customers.
    • Serve as a subject matter expert for clients.
    • Participate in request for proposal activities.
    • Represent HSAG in a professional manner at all times.
      Job Requirements:

      EDUCATION AND/OR EXPERIENCE
      • Bachelor's degree in actuarial or actuarial related science.
      • Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) designation.
      • At least 5 years' experience working in a healthcare setting (i.e., managed care plan, actuarial firm).
      • Development and certification of Medicaid managed care rates for Medicaid populations.
      • Understanding of Medicaid waivers and budget neutrality requirements [e.g., 1115, 1915(b/c) waivers].
      • Use and applications of various risk adjustment mechanisms and tools.
        OTHER QUALIFICATIONS
        • Expert in the use of MS Office products, including Word, Excel, PowerPoint
        • High-level expertise in evaluating medical and prescription drug claims and encounters; eligibility and enrollment; demographic; survey; and vital statistics data.
        • Experience developing and leading formal written deliverables for multiple clients, including serving as the lead writer/major contributor on multiple formal deliverables.
        • Ability to handle several projects simultaneously and work with multiple teams.
        • Experience working on proposal responses and new business acquisition.
          WORK ENVIRONMENT
          The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
          DISCLAIMER
          This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).
          HSAG is an EEO Employer of Veterans protected under Section 4212. If you have special needs and require assistance completing our employment application process, please feel free to contact us.
          EOE M/F/Vet/Disabled



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