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PwC Health Insurance Actuary Senior Manager in Chicago, Illinois

Specialty/Competency: Benefits

Industry/Sector: Not Applicable

Time Type: Full time

Government Clearance Required: No

Available for Work Sponsorship: Yes

Travel Requirements: Not Specified

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.

We’re leading the way as technology-enabled tax advisors who provide value through digitization, automation and increased efficiencies - all made possible by equipping our professionals to succeed in a world where transactions are faster, more complicated and require a deeper level of sophistication. PwC Tax provides unparalleled technical knowledge and specialization and industry insights, coupled with the One Firm knowledge that brings everything PwC offers to solve our clients’ needs.

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 :

5 year(s)

Certification(s) Required :

One or more of the following certifications are required for this role: CPA, Enrolled Agent, Member of the Bar, Certified Equity Professional, Certified Pension Consultant, CCP, CPP, GRP, QKA, QPA, Licensed Insurance Consultant, Licensed Pharmacist, Associate, Society of Actuaries, Certified Employee Benefits Specialist, Chartered Financial Analyst, SPHR, Enrolled Actuary, Fellow, Life Management Institute, Fellow, or Society of Actuaries

Preferred Qualifications :

Degree Preferred :

Master Degree

Preferred Fields of Study :

Actuarial Science, Statistics, Mathematical Statistics, Mathematics, Finance, Economics, Public Policy Analysis

Additional Educational Preferences :

Other analytics-based fields of study may be considered

Preferred Knowledge/Skills :

Demonstrates proven knowledge of, and/or success in roles 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 compliance.

This position will provide the opportunity to meet directly with clients, from mid-management to the c-suite; collaborating on different workstreams and sharing your ideas and insights. Within a project team at PwC your role will change based on the engagement and your specialization. At times you may be brought in as a subject matter specialist, other times you may lead the project end to end. Depending on your comfort level and skill set, there is always an engagement that will highlight your strengths and further develop your experience.

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;

  • 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; and,

  • 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;

  • 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.

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.

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