Senior Consulting Actuary - VBP

Senior Consulting Actuary - VBP

Wakely is seeking a Senior Consulting Actuary with expertise in Value-Based Payment (VBP) across various lines of business, with a specific focus on Medicare fee-for-service ACOs and Medicare Advantage. This individual will be instrumental in business development, leading client engagements, managing internal workflows, strategic planning, and mentoring junior staff.

Key Responsibilities

• Lead and manage client communication, collaborating with diverse teams to convey complex concepts clearly.
• Manage project deliverables by creating, updating, and executing project timelines.
• Delegate work effectively, foster team member growth, and provide constructive feedback.
• Ensure the quality of deliverables to meet client expectations.
• Learn and utilize Wakely Tools and Products for VBC entities.
• Assist with business development by responding to RFPs, presenting at conferences, and exploring other opportunities.
• Train team members on VBP concepts and financial modeling best practices.
• Collaborate across internal teams, including risk adjustment, Medicare Advantage, Medicaid, ACA, and CMS/CMMI model teams.

What We’re Looking For

• Demonstrated experience designing, evaluating, or operating within value-based payment models across lines of business.
• Strong technical expertise in claims analysis, risk adjustment, and forecast modeling.
• Strategic thinker who anticipates market and regulatory changes and translates them into actionable client strategies.
• Ability and interest to build trust with clients and grow a personal network.
• Passion for mentoring and developing actuarial talent.
• Excellent communication skills and ability to work effectively across cross-functional teams.

Job Summary

The Senior Consulting Actuary I is responsible for managing Wakely’s client relationships by designing and monitoring plans to achieve strategic goals. In addition, the position will manage actuarial project teams to ensure quality and timely deliverables. This role has supervisory responsibilities.

Responsibilities

• Client Management: Develop and maintain client relationships; implement initiatives for Wakely products, tools, and services through training and regular meetings; manage and understand individual client needs and develop strategic plans; manage client relationships including visits, correspondence, and feedback; mitigate risk by ensuring client contracts, documentation, and processes are followed.
• Project Management: Supervise and account for the execution of project plans; conduct periodic reviews of project plans, deliverables, and results; oversee project communication and provide feedback venues; ensure project teams provide quality deliverables and bill clients within timelines; ensure appropriate delegation of work.
• Professional/Industry Development: Gain and sustain professional and industry knowledge through continuing education; implement industry training for internal/external initiatives; identify needs and align employee career path plans; manage the creation of additional resources and reference materials.
• New Business Development: Seek opportunities for organizational growth; implement brand recognition through participation in seminars/events and research papers; generate new business/product lines by executing action plans; manage new marketing initiatives to generate sales leads; introduce new value-add services to current clients.
• Internal Operations: Manage best business practices; prioritize and manage operational efficiency initiatives; administer compliance of policies and procedures for cross-office collaboration; recruit top talent and participate in selection and orientation; oversee and participate in community and professional volunteer activities.

Qualifications

• Education: Minimum of a bachelor’s degree in actuarial science, mathematics, economics, or statistics required. FSA designation or ASA designation with additional experience also required.
• Experience: Minimum of 8 years of healthcare actuarial experience in one or more of Wakely’s core areas (Medicaid, healthcare reform, ACA, Provider Sponsored Organizations, and Medicare Advantage), with at least 2 years of project management or client management experience required.
• Knowledge, Skills, And Abilities: Initiative, Effective Communication (verbal and written), Team Player, Time Management, Continuous Learning, Leadership, Emotional Intelligence, Strategic Thinking.

Key Skills/Competency

• Value-Based Payment (VBP)
• Medicare Advantage
• Accountable Care Organizations (ACOs)
• Risk Adjustment
• Claims Analysis
• Forecast Modeling
• Client Management
• Project Management
• Business Development
• Actuarial Science