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Health Care Attorney in Chicago, IL

PricewaterhouseCoopers LLP. Mar 30,2019 Jan 30,2019 Location USA Chicago IL
This job is expired...

In-House

Attorney

Health Care

Min 3 yrs required

Profile

Health Actuarial Senior Associate The candidate is responsible to work as part of a team of problem solvers with extensive consulting and industry experience, helping our clients solve their complex business issues from strategy to execution. Specific responsibilities include: Proactively assist in the management of several clients, while reporting to Managers and above. Train and lead staff. Establish effective working relationships directly with clients. Contribute to the development of team’s technical acumen. Keep up to date with local and national business and economic issues. Be actively involved in business development activities to help identify and research opportunities on new/existing clients. Analyze clients medical claim data to understand historical trends and suggest opportunities to implement savings initiatives. Evaluate a client’s end-to-end risk adjustment process, evaluating the return on investment for each operational activity and vendor. Develop predictive analytics to help identify gaps within a health plan’s coding procedures and optimize their revenue stream. Create a strategic roadmap with clients entering a new line of business or market, including the development of a proforma. Analysis of a company’s financial statements finding opportunities to enhance their reporting. Support payers and providers as they move down the value based care continuum and identify impacts to their cost structure and operations. Support mergers and acquisitions by evaluating a target’s financial statements and develop a quality of earnings adjustment to provide insight into the target’s expected future earnings potential. Complete IBNR reserve analyses and assess actuarial balances as part of year-end financial audit for health and life insurance companies. As an actuarial technical professional, demonstrates ability to research business and industry trends to develop a point of view to leverage in assisting with proposals, considering opportunities across multiple lines of service.

Qualification and Experience

The candidate must have a Bachelor Degree in Mathematics, Actuarial Science, Finance, Business Administration/Management and/or Economics. 3 years of previous experience is needed. Should have Certification(s): Associate of Society of Actuaries (ASA),CPA, Enrolled Agent, Member of the Bar, Certified Equity Professional, Certified Pension Consultant, CCP, CPP, GRP, QKA, QPA, Licensed Insurance Consultant, Licensed Pharmacist, Certified Employee Benefits Specialist, Chartered Financial Analyst, SPHR, Enrolled Actuary, Fellow, Life Management Institute, Fellow, or Society of Actuaries or any other professional certifications approved for the practice before being promoted to Manager. Proven extensive knowledge of, and/or success in roles directing functions or projects involving, actuarial aspects of commercial and government programs and issues in a major consulting firm or corporate environment, emphasizing areas that include pricing/underwriting, health plan financial reporting, data analysis, and compliance is desired. Excel and database/statistical analysis language (SQL or SAS) is a plus. Communication skills and ability to work with management and senior level executives at other organizations is preferred. Ability to help identify client issues and resources needed to solve problems is a plus. Analytical thinking skills to evaluate analyses for communication to clients is an asset. Experience with Medicare, Medicaid, commercial and/or supplemental health products is beneficial.

Additional info

Job ID: 45159WD

Company info