Actuarial Consultant Job at Public Consulting Group, Pennsylvania

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  • Public Consulting Group
  • Pennsylvania

Job Description

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.-all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in six Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit

Duties and Responsibilities

Actuarial
  • Serve as an actuary and carry out related project work across multiple public health care projects, including Medicaid programs
  • Serve as a subject matter expert in health care finance, actuarial methods and standards
  • Support the design and implementation of rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards
  • Support alternative payment model design and implementation
  • Conduct actuarial cost and other financial analyses
  • Interpret and synthesize quantitative findings to facilitate decision making
  • Work collaboratively across teams and project streams
  • Identify project risks and opportunities, and develop sustainable solutions to address these
  • Communicate complex methods and principles in a straightforward and understandable way

Consulting
  • Conducts project management activities including project planning and status reporting
  • Facilitates client discussions relating to healthcare financing
  • Manages daily project functions and client interaction
  • Serves as project lead and primary client contact for one or more projects relating to healthcare finance
  • Reviews business operations for service and efficiency improvements
  • Evaluates programs and makes recommendations for improvements
  • Analyzes and interprets federal and state law and regulation
  • Assesses best practices and provide technical assistance to clients
  • Manages small projects, staff and tasks with limited supervision while meeting and exceeding performance expectations
  • Delegates tasks and responsibilities to team members
  • Prepares other written reports and materials for clients

Business Development
  • Supports strategic planning relating to identifying and pursuing actuarial opportunities
  • Identifies and reviews Requests for Proposals (RFPs)
  • Supports direct business development activities including meeting with potential clients and preparing materials for business development meetings
  • Leads proposal writing teams, including writing sections, coordinating efforts, and preparing proposal submissions

General
  • Critical thinking and creative problem solving
  • Work closely with government agencies
  • Demonstrated initiative and the ability to successfully identify new business opportunities and up-sell to existing customers

Required Skills
  • Knowledge of and experience with all aspects of the healthcare marketplace including plan design, pricing, reserving, benchmarking, financial management/analysis including experience projections, and administration
  • Medicaid actuarial experience (any state program, health insurer or Federal agency) or actuarial consulting experience; experience with Medicaid managed care capitation rate development and/or fee-for-service rate development, and Medicaid waivers is a plus
  • Excellent critical thinking, quantitative, analytical and problem solving skills
  • Ability to prioritize and work across multiple projects/engagements
  • Advanced knowledge of Microsoft Products, specifically Excel
  • Strong interpersonal, oral and written communication skills
  • Experience and ability to effectively evaluate client needs and providing client service

Qualifications

Education

Bachelors degree

Experience

5+ years of actuarial experience with particular emphasis on healthcare

Certification

ASA or FSA required

MAAA preferred

Working Conditions
  • Remote; up to 25% travel

#LI-remote

Remote Work Statement:

This position is a remote, work from home position. PCG is a remote-friendly organization and is committed to creating a culture where remote work remains a vital part of the company's success. To be successful in a remote work role at PCG, you must:
  • be available during your set working hours.
  • have a safe, private, and distraction-free environment in which to complete your work, and
  • be able to give your full attention to the completion of your PCG job duties.

Some travel to the office or elsewhere may be required for team meetings, client meetings, etc.

We are accepting applications on an ongoing basis until filled.

As required by applicable law, PCG provides the following reasonable range of compensation for this role: $100,000-$119,900.

Compensation:

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides the following reasonable range of compensation for this role below. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

EEO Statement:

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Job Tags

Local area, Remote job, Work from home,

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