at PwC in Chicago, Illinois, United States
Job Description
Specialty/Competency: Benefits
Industry/Sector: Health Services
Time Type: Full time
Travel Requirements: Up to 40%
A career in our Benefits practice, within People and Organisation Consulting services, will provide you with the opportunity to help our clients reset their talent strategies and deliver extraordinary business results through their people. We focus on evaluating and managing their unique challenges so our clients can maximise their return on the overall investment in human capital. You’ll gain a tremendous depth of expertise in all aspects of human capital, including creating sustainable value through people culture and change, designing compensation and retirement strategies, and improving human capital operations.
Our team helps our clients evaluate, redesign, implement and manage their health and welfare and retirement benefits programmes. You’ll help our clients with active and retiree plan performance management, vendor selection, provider strategy, financial reporting and cost driver analysis, private exchange and drug benefit evaluation.
To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future.
As a Senior Manager, you’ll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to:
+ Encourage everyone to have a voice and invite opinion from all, including quieter members of the team.
+ Deal effectively with ambiguous and unstructured problems and situations.
+ Initiate open and candid coaching conversations at all levels.
+ Move easily between big picture thinking and managing relevant detail.
+ Anticipate stakeholder needs, and develop and discuss potential solutions, even before the stakeholder realises they are required.
+ Contribute technical knowledge in area of specialism.
+ Contribute to an environment where people and technology thrive together to accomplish more than they could apart.
+ Navigate the complexities of cross-border and/or diverse teams and engagements.
+ Initiate and lead open conversations with teams, clients and stakeholders to build trust.
+ Uphold the firm’s code of ethics and business conduct.
As a PwC Healthcare Consulting Actuary, you will be part of our exciting growing team that provides strategic, analytic and technical support to our payer and provider clients. The healthcare sector continues to evolve and as such, our clients look to us to support them in redefining their strategy and thinking to maintain market share, margins, and to achieve cost savings.
Job Requirements and Preferences :
Basic Qualifications :
Minimum Degree Required :
Bachelor Degree
Required Fields of Study :
Actuarial Science, Statistics, Mathematics, Mathematical Statistics, Finance, Economics, Business Administration/Management
Minimum Years of Experience :
7 year(s)
Preferred Qualifications :
Degree Preferred :
Master Degree
Preferred Fields of Study :
Actuarial Science, Statistics, Mathematical Statistics, Mathematics, Finance, Economics, Public Policy Analysis
Certification(s) Preferred :
ASA Designation and/or FSA Designation
Preferred Knowledge/Skills :
Demonstrates intimate abilities and/or a proven record of success as a team/functional leader in the Payer and/or Provider industries including:
+ Leading 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 risk adjustment;
+ Interpreting and applying regulatory requirements and standards to help clients meet both compliance and strategic objectives; and,
+ Employing entrepreneurial capability to help identify and evaluate new business opportunities and continuously innovate and improve processes and products.
Demonstrates intimate abilities and/or a proven record of success in the following areas:
+ Analyzing clients medical claim data to understand historical trends and suggest opportunities to implement savings initiatives;
+ Writing medical cost and risk adjustment analytics using SAS to help clients identify sources of value;
+ Analyzing of a company’s financial statements finding opportunities to enhance their reporting;
+ Supporting mergers and acquisitions by evaluating a target’s financial statements and developing a quality of earnings adjustment as well as providing insight into the target’s expected future earnings potential;
+ Completing IBNR reserve analyses and assess actuarial balances as part of year-end financial audit for health and life insurance companies;
+ Researching business and industry trends to develop a point of view to leverage in assisting with proposals, considering opportunities across multiple lines of service.
Demonstrates intimate abilities and/or a proven record of success with automation & digitization in a professional services environment including:
+ Analyzing clients medical claim data to understand historical trends and suggest opportunities to implement savings initiatives;
+ Evaluating a client’s end-to-end risk adjustment process, evaluating the return on investment for each operational activity and vendor;
+ Supporting Value Based Care contracting and analytics for payers, providers, and health services organizations;
+ Developing predictive analytics to help identify gaps within a health plan’s coding procedures and optimize their revenue stream;
+ Creating a strategic roadmap with clients entering a new line of business or market, including the development of a proforma;
+ Innovating through new and existing technologies, along with experimenting with digitization solutions;
+ Working with large, complex data sets to build models and leverage data visualization tools to provide insights to clients;
+ Utilizing digitization tools to reduce hours and optimize engagements; and,
+ Knowledge of alternative fee arrangements, including the use of pricing tools, to provide a point of view on pricing strategies.
Learn more about how we work: https://pwc.to/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: https://pwc.to/H-1B-Lottery-Policy.
All qualified applicants will receive consideration for employment at PwC without regard to race; creed; color; religion; national origin; sex; age; disability; sexual orientation; gender identity or expression; genetic predisposition or carrier status; veteran, marital, or citizenship status; or any other status protected by law. PwC is proud to be an affirmative action and equal opportunity employer.
For positions based in San Francisco, consideration of qualified candidates with arrest and conviction records will be in a manner consistent with the San Francisco Fair Chance Ordinance.
Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines
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