Senior Healthcare Actuarial Consultant

🕒 September 24

🇺🇸 United States – Remote

💵 $130k - $180k / year

⏰ Full Time

🟠 Senior

📊 Actuary

👻 Ghost score 24%

What it means: the chance that no one is really hiring for this job.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

• Support evaluation of complex healthcare proposals for a major federal procurement • Independently evaluate proposals and supporting healthcare analyses • Evaluate 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 acquisition documentation • Analyze claims, encounter, eligibility, membership, provider, utilization, reimbursement, and other healthcare data • Review, modify, maintain, test, and independently validate healthcare analytical and pricing models • Evaluate healthcare cost projections and identify 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 benchmarks • Develop clarification questions, written findings, and recommendations • Collaborate with the Senior Pricing Consultant and acquisition team on proposal evaluations, negotiations, source selection, proposal revisions, and FPRs • Maintain traceable workpapers and communicate 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 • Direct analysis of underlying healthcare data and assumptions • Ability to evaluate healthcare pricing, rates, actuarial submissions, reimbursement proposals, analytical models, and underlying assumptions • Experience with healthcare procurements, proposal evaluations, price analysis, clarification development, negotiation support, or source selection • Experience with large-scale healthcare programs and healthcare data analysis • Experience using SQL, SAS, R, Python, Power BI, Power Query, Excel, or other analytical, actuarial, modeling, or business intelligence tools • Ability to develop clear analytical reports, proposal findings, price analyses, or negotiation-support materials • Ability to communicate complex analytical findings and deliver accurate, traceable products under compressed procurement timelines

🏖️ 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 • Performance recognition and rewards • Reasonable accommodations may be provided

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