Offer summary

Qualifications:

Bachelor's degree in Actuarial Science, Mathematics, Statistics, Accounting, or a related field., Proven experience in health care actuarial work, especially with state government compliance reviews., Strong analytical and problem-solving skills are essential., Excellent written and verbal communication skills are required..

Key responsabilities:

Conduct comprehensive compliance reviews and audits of health insurers, plans, and issuers.

Perform market conduct examinations to ensure adherence to regulations.

Analyze data and prepare detailed reports on findings.

Collaborate with stakeholders to address compliance issues and provide expert regulatory advice.

StrategyGen is an SBA certified HUBZone small business and GSA contract holder that provides government agencies and commercial organizations with innovative solutions for complex problems to measurably improve the health of healthcare. We leverage our diverse subject matter expertise to provide: 1) Federal and State Regulatory Assistance, Policy Analysis, 2) Compliance and Auditing 3) Quality and Cost Improvement, 4) Advanced Data Analytics, and Market Research 5) Education and Technical Assistance. StrategyGen’s extensive industry experience combined with our in-depth experience with government agencies, including Health and Human Services (HHS), The Centers for Medicare and Medicaid Services (CMS), Center for Program Integrity (CPI), Indian Health Service (IHS), Housing and Urban Development (HUD), Department of Defense (DoD) and the Department of Education (ED) enables us to recommend actionable solutions federal and state agencies and private industry.

Job description

Job Summary

StrategyGen is seeking a skilled and detail-oriented Health Care Actuary to consult with our team. Your expertise will help ensure that health care health insurers, plans, and issuers adhere to state and federal regulations. Responsibilities may include conducting state government compliance reviews, health audits, or market conduct examinations.

Responsibilities

Conduct comprehensive compliance reviews and audits of health insurers, plans, and issuers.
Perform market conduct examinations to assess adherence to state and federal regulations.
Analyze data and prepare detailed reports on findings.
Collaborate with state government agencies, health insurers, plans, and issuers, and other stakeholders to address compliance issues.
Provide expert advice on regulatory requirements and best practices.
Stay up to date with changes in state health care regulations and policies.

Qualifications

Bachelor's degree in Actuarial Science, Mathematics, Statistics, Accounting, or a related field.
Proven experience in health care actuarial or similar work, preferably with state government compliance reviews.
Familiarity with state government health audits or market conduct examinations is highly desirable.
Strong analytical and problem-solving skills.
Excellent written and verbal communication skills.
Ability to work independently and as part of a team.
Certifications in actuarial science, market conduct examinations, or related areas are helpful but not required.

This is a remote position.

Required profile