Senior ACA Risk Adjustment Lead

Wakely Consulting Group; United States; On-site; USD 120,000 - 180,000; Full time

Job summary

Wakely Consulting Group is seeking a Senior Consultant with ACA risk adjustment analytics expertise to lead client engagements, coordinate multidisciplinary teams, and develop actionable recommendations that advance Wakely’s risk adjustment offerings.

The ideal candidate will bring deep ACA risk adjustment knowledge, EDGE data experience, strong project leadership, and the ability to communicate complex concepts to senior leaders across health plans and sponsors.

Qualifications

• Experience leading ACA risk adjustment analytics in health plans or consulting.
• Deep understanding of the ACA risk adjustment program and its impact on rate filings and financial performance.
• Strong leadership and project management across multiple engagements.
• Ability to translate market or regulatory changes into actionable client recommendations.

Responsibilities

• Lead ACA risk adjustment analyses and provide strategic support to health plan executives.
• Manage client engagements, timelines, and deliverables; mentor staff.
• Present results and risk concepts to client leadership.
• Coordinate cross-functional teams across actuarial, coding, data, and operations.
• Contribute to proposals and growth of risk adjustment offerings.

Skills

Leadership

Project management

Communication

ACA risk adjustment analytics

Team coordination

Client relationship management

Education

Bachelor's degree in actuarial science, mathematics, economics, or statistics

FSA/ASA designation with additional experience

Tools

EDGE data

Job description

Wakely Consulting Group is seeking a Senior Consultant with ACA risk adjustment analytics expertise to lead client engagements, coordinate multidisciplinary teams, and develop actionable recommendations that advance Wakely’s risk adjustment offerings.

The ideal candidate will bring deep ACA risk adjustment knowledge, EDGE data experience, strong project leadership, and the ability to communicate complex concepts to senior leaders across health plans and sponsors.