Rewards- Health Payer Actuary- Senior Manager Save for Later Remove job

At PwC, our people in workforce consulting focus on providing consulting services related to human resources, talent management, and organisational development. They analyse client needs, develop people and organisation strategies. These individuals offer guidance and support to help clients optimise their workforce, enhance employee engagement, and drive organisational effectiveness. Those in rewards and benefits at PwC will specialise in providing comprehensive consulting services related to total rewards, compensation programmes, and employee benefits. You will work closely with clients to analyse their reward and benefits strategies, design competitive and equitable compensation structures, and develop cost-effective and attractive benefits packages.

Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm.

Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:

• Craft and convey clear, impactful and engaging messages that tell a holistic story.
• Apply systems thinking to identify underlying problems and/or opportunities.
• Validate outcomes with clients, share alternative perspectives, and act on client feedback.
• Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations.
• Deepen and evolve your expertise with a focus on staying relevant.
• Initiate open and honest coaching conversations at all levels.
• Make difficult decisions and take action to resolve issues hindering team effectiveness.
• Model and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements.

The Opportunity

As part of the Rewards and Benefits team you provide strategic, analytic, and technical support to our payer and provider clients. As a Senior Manager you lead large projects, innovate processes, and maintain operational excellence while interacting with clients at a senior level to drive project success. You analyze medical claim data, support mergers and acquisitions, and develop predictive analytics to help identify gaps within a health plan's coding procedures and enhance their revenue stream.

Responsibilities

- Provide strategic, analytic, and technical support to payer and provider clients

- Lead large projects and innovate processes to drive results

- Maintain operational excellence while engaging with clients at a senior level

- Analyze medical claim data to identify gaps and enhance revenue streams

- Support mergers and acquisitions with strategic insights

- Develop predictive analytics to enhance health plan coding procedures

- Foster a collaborative environment to solve intricate problems

- Maintain excellence in client service and satisfaction

What You Must Have

- Bachelor's Degree in Actuarial Science, Statistics, Mathematical Statistics, Mathematics, Finance, Economics and Finance, Economics, Business Administration/Management, or Public Policy Analysis

- 7 years of experience

What Sets You Apart

- Master's Degree

- ASA Designation and/or FSA Designation

- Leading functions or projects involving actuarial aspects of commercial and government programs

- Interpreting and applying regulatory requirements and standards

- Employing entrepreneurial capability to identify and evaluate new business opportunities

- Analyzing clients medical claim data to understand historical trends

- Writing medical cost and risk adjustment analytics using SAS

- Supporting mergers and acquisitions by evaluating financial statements

- Developing predictive analytics to identify gaps within a health plan's coding procedures

Learn more about how we work:

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy:

As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. 

For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.

The salary range for this position is: $124,000 - $280,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link:

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