Actuary

• Evaluate healthcare 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 other acquisition documentation
• Analyze claims, encounter, eligibility, membership, provider, utilization, reimbursement, and other healthcare data for quality, completeness, consistency, and reasonableness
• Review, modify, maintain, test, and independently validate healthcare analytical and pricing models, including formulas, assumptions, inputs, outputs, and model logic
• Evaluate healthcare cost projections and identify key 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 other relevant benchmarks
• Develop clarification questions, written findings, and recommendations addressing data, modeling, methodology, pricing, and potential financial risks
• Collaborate with the Senior Pricing Consultant and acquisition team to support proposal evaluations, negotiations, source selection, and analysis of proposal revisions and FPRs
• Maintain traceable workpapers and communicate clear analytical findings to technical, financial, acquisition, and Government stakeholders while protecting sensitive information

Actuary jobs in Virginia

Senior Healthcare Actuarial Consultant