Senior Healthcare Actuarial Consultant

Job not on LinkedIn

🔥 0 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $130k - $180k / year

⏰ Full Time

🟠 Senior

📊 Actuary

👻 Ghost score 4%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Blake Willson Group, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

🎖️ Defense

📦 Logistics

🏥 Healthcare

Defense • Logistics • Healthcare

Blake Willson Group is a company that delivers strategically focused professional services and technology solutions designed to solve complex issues faced by commercial clients, as well as federal, defense, intelligence, and civilian sectors. They specialize in government accounting, IT, and cybersecurity, offering services that include transaction processing, analytics, and professional development through their NASBA certified training programs. As a licensed CPA firm, they are recognized for delivering top-tier expertise, particularly in government accounting and grants management. Their technology solutions are tailored to meet the evolving needs of federal IT requirements, emphasizing cybersecurity maturity and software engineering. Blake Willson Group also leads the industry in grants management services, implementing processes using software as a service (SaaS) to efficiently manage the grants lifecycle and improve financial outcomes for government entities.

📋 Description

• Evaluate healthcare proposal pricing, cost models, rate-development methodologies, utilization, reimbursement, trend, risk adjustment, and supporting data • Review solicitation requirements, evaluation criteria, data specifications, amendments, Government assumptions, and other acquisition documentation • Analyze claims, encounter, eligibility, membership, provider, utilization, reimbursement, and other healthcare data for quality, completeness, consistency, and reasonableness • Review, modify, maintain, test, and independently validate healthcare analytical and pricing models, including formulas, assumptions, inputs, outputs, and model logic • Evaluate healthcare cost projections and identify key drivers, anomalies, unsupported assumptions, methodological limitations, data deficiencies, and financial risks • Perform calculations, reconciliations, sensitivity analyses, scenario testing, benchmarking, and other analytical procedures • Compare proposal assumptions and results against historical experience, Government assumptions, independent estimates, market data, and other relevant benchmarks • Develop clarification questions, written findings, and recommendations addressing data, modeling, methodology, pricing, and potential financial risks • Collaborate with the Senior Pricing Consultant and acquisition team to support proposal evaluations, negotiations, source selection, and analysis of proposal revisions and FPRs • Maintain traceable workpapers and communicate clear analytical findings to technical, financial, acquisition, and Government stakeholders while protecting sensitive information

🎯 Requirements

• Must be currently authorized to work in the United States on a full-time basis • Ability to obtain a Public Trust Security Clearance • Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, Healthcare Analytics, or a related field • 7+ years of experience in healthcare actuarial analysis, managed-care analytics, healthcare economics, reimbursement, claims analytics, healthcare pricing, data analytics, or a related field • 3+ years of recent hands-on experience developing, maintaining, materially modifying, testing, or independently validating healthcare cost, utilization, reimbursement, pricing, or rate-development models, including direct analysis of underlying healthcare data and assumptions

🏖️ Benefits

• Major medical benefits • Dental coverage • Vision coverage • 401(k)-contribution plan • Holiday and personal time off • Professional development training & certification benefits • Health & wellness subsidies • Paid time off for community service • Reasonable accommodations may be provided • Performance recognition and rewards