Senior Consulting Actuary, ACA & Risk Adjustment

Acturhire; United States; Hybrid; USD 150,000 - 230,000; Full time

Benefits offered by this job

Comprehensive compensation package

Full Benefits Package

Wellness Program

Corporate Events

Job summary

Acturhire seeks a Senior Consulting Actuary to lead client engagements in healthcare actuarial risk adjustment. You will coordinate multidisciplinary teams, develop actionable recommendations, and support growth of the firm's risk adjustment offerings.

The role focuses on ACA risk adjustment analyses, accrual development, EDGE data evaluation, and strategic guidance to health plan executives, while supervising actuarial project teams to ensure timely, high-quality deliverables.

Qualifications

• 7+ years of healthcare actuarial experience in Medicaid, ACA, and related risk adjustment areas.
• Proven experience leading ACA risk adjustment analytics for health plans or consulting engagements.
• Strong knowledge of the full risk adjustment lifecycle including coding, submissions, analytics.
• Ability to manage client relationships and decide actions independently.
• FSA designation and a bachelor’s degree required.

Responsibilities

• Lead client engagements and coordinate multidisciplinary actuarial teams to deliver results.
• Develop actionable recommendations and support growth of risk adjustment offerings.
• Manage ACA risk adjustment analyses, accrual development, and EDGE data evaluation.
• Provide strategic guidance to health plan executives and ensure timely deliverables.

Skills

Healthcare actuarial experience

Leading ACA risk adjustment analytics

Knowledge of risk adjustment lifecycle

Client management

Independent decision making

Education

Bachelor's Degree

FSA designation

Job description

Company Highlights

• For over 20 years, our client has chartered their path as an industry leader and innovator.
• The shared mission is to support health care system stakeholders in driving toward sustainable, high quality, efficient health care services.
• Together they achieve this mission by drawing upon broad and deep industry expertise, powerful analytical tools, and most importantly, the relentless talent and energy of their employees.
• They promote innovation through their strong culture of teamwork, limited red tape, and a strong compensation structure.
• With the focus going beyond the numbers, they create a diverse, authentic, and empowering workforce that is optimized through the strengths in their differences.

Benefits and Features

• Comprehensive compensation package with salary and exceptional bonus structure
• Full Benefits Package
• Wellness Program with monthly contribution to various wellness activities
• Corporate Events

The Role You Will Play

• The Senior Consulting Actuary will lead client engagements, coordinate multidisciplinary teams, develop actionable recommendations, and support the continued growth of the company's risk adjustment offerings.
• This role will 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.
• The Senior Consulting Actuary is responsible for managing client relationships by designing and monitoring plans to achieve strategic goals.
• The role is entrusted to supervise and manage actuarial project teams to ensure quality and timely deliverables.

Community Highlights

• The firm has offices in several locations across the United States.
• This role offers flexibility to work from a U.S. based remote home office or from one of the company's U.S. based offices.
• Each location is near a major city offering entertainment, sports, arts and culture, plus close to major transportation.

Background Profile

• 7+ years of healthcare actuarial experience in least one area - Medicaid, healthcare reform, ACA, Provider Sponsored Organizations and Medicare Advantage
• Demonstrated experience leading ACA risk adjustment analytics within a health plan or leading strategic risk adjustment consulting engagements.
• Strong knowledge of the full risk adjustment lifecycle, including coding, submissions, analytics, provider engagement, and regulatory requirements.
• Familiarity with client management and the ability to decide in an independent way what actions should be taken
• FSA designation
• Bachelor's Degree required