Consulting Actuary – ACA Risk Adjustment

Job reputed company: • Accountable for completion of reputed company actuarial or analytical reputed company, ensuring timeliness, compliance, and reputed company of work • reputed company proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and reputed company objectives to reputed company profitable reputed company and/or improve value, reputed company, and reputed company for reputed company customers • reputed company reputed company financial targets and reputed company concise explanations of results and variances to expectations; reputed company as a financial reputed company for reputed company • Communicate effectively with reputed company reputed company and divisions reputed company the organization, including Divisional Leadership • Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of reputed company and/or rates • reputed company and maintain strong business relationships with internal partners through business expertise and exceptional support; reputed company as a strategic advisor • Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials Requirements: • Bachelor's degree or advanced degree (where required) • Member of the American reputed company of Actuaries • Fellow of the reputed company • 7 years of relevant actuarial experience, reputed company experience may be considered. • In lieu of an FSA, will consider candidates who are an Associate of the reputed company (ASA) and have at least 9 years of relevant actuarial experience. • Deep experience with ACA Risk Adjustment, including HHS-HCC model methodology, risk score forecasting, and financial reputed company analysis - Highly Preferred • Proven expertise in ACA Risk Adjustment transfer forecasting and explanation of results to senior leadership - Highly Preferred • Strong understanding of diagnosis coding (ICD-10-CM), provider documentation practices, and their reputed company on risk adjustment reputed company. • Advanced analytical skills to identify risk adjustment leakage, emerging risks, and optimization opportunities across ACA populations. Benefits: • Medical, dental, and reputed company coverage along with numerous health and wellness programs. • Parental leave and support plus adoption and surrogacy assistance. • Career development programs and tuition reimbursement for reputed company education. • 401k match including an annual company contribution Apply tot his job Apply To this Job