DenverRecruiter Since 2001
the smart solution for Denver jobs

Senior Consulting Actuary - Provider Specialist

Company: Patelco Credit Union
Location: Denver
Posted on: February 24, 2021

Job Description:

Senior Consulting Actuary - Provider Specialist-- Description Wakely Consulting Group has been an industry leader/innovator for 20+ years. At Wakely, our mission is to support health care system stakeholders in driving toward sustainable, high quality, efficient health care services. We achieve our mission by drawing upon broad and deep industry expertise, powerful analytical tools, and most importantly, the relentless talent and energy of our people.What makes us different?Wakely is the place where you can bring your ideas, knowledge, and unique skills, and immediately contribute to our cutting edge products and solutions. Encouraging and supporting the exploration of new concepts and career opportunities are some of the reasons for our employees' success.We recognize our employees are whole people, with families, hobbies, and lives outside of work.We offer flexible schedules, family care time-off and plenty of vacation to create work-life fit for us and the people we love. Our culture values diversity, camaraderie and making time to have fun. If you enjoy this type of work environment, Wakely might be the perfect place for you.SummaryA Senior Consultant Provider--Specialist--will be responsible for leading Wakely's client relationships by designing and monitoring plans to achieve strategic goals with a focus on our payor provider business line. In addition, the position will manage an Actuary project team to ensure quality and timely deliverables.What you will do:

  • Lead provider initiatives--through shared savings and risk support (strategic and financial)
  • Conduct provider contract analysis
  • Lead--alternative payment model evaluation and implementation
  • Evaluation of CMMI & CMS Models
  • Manage--provider-sponsored health plans
  • Identify--population health analysis to identify high risk members for intervention and transition of risk
  • Risk stratification of population by risk scores, chronic conditions medical expenses, etc.
  • Support healthcare providers with transition from fee for service to value based payment
  • Benchmark,--target development, reconciliation,and financial reporting for risk-bearing providers
  • MACRA analysis
  • External promotion including webinars, conferences, and white papers Position Requirements Required Experience:
    • 4+ years of experience working with payors and providers
    • Proficiency with Excel, Access, Word and PowerPoint
    • SQL and SAS database skills
    • Bachelor's degree in actuarial science or similar field
    • Credentialed ASA
    • Strong communication skills
    • Ability to develop junior staffPreferred Experience:
      • 5 - 7 years of extensive interaction with ACO's (including those participating in MSSP, Next Gen, or other CMS/CMMI programs), prospective DCEs, health systems, IPAs, CINs, multi-specialty groups, etc.
      • Credentialed FSA
      • Business and organizational development skills
      • Client management experienceRelocation may be available for the right candidate.We offer a generous package of health benefits, medical, dental, vision, STD/LTD, paid maternity/paternity leave and life insurance. Our compensation program provides bonuses, 401K, profit sharing and exam salary increase w/bonuses. You will enjoy an ample amount of PTO, group and family activities. Category Actuary Location Denver Colorado Hiring Manager(s) About the Organization Wakely Consulting Group is a health care actuarial consulting firm serving nationwide health plans, insurance companies, government regulators, employers, healthcare providers and other stakeholders in health care, managed care and health care reform marketplaces. Wakely Consulting Group assists clients with product pricing/premium development, feasibility studies, predictive modeling, actuarial certifications and filings, operational analysis, compliance, and other financial and management aspects of their business.





        To learn more about us, visit www.wakely.com

        EEO EOE Statement EEO Statement

        It is the policy of Wakely Consulting Group to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Wakely Consulting Group will provide reasonable accommodations for qualified individuals with disabilities.
        Hiring Manager(s) This position is currently accepting applications. Senior Consulting Actuary in Denver , Colorado
        Posted on: 2/7/2021
        [Apply Now]

        Consulting Actuary in Denver , Colorado
        Posted on: 2/7/2021
        [Apply Now]

        Consulting Actuary in Minneapolis, Minnesota
        Posted on: 2/7/2021
        [Apply Now]

        Senior Consulting Actuary in Sandy Springs, Georgia
        Posted on: 2/7/2021
        [Apply Now]

        Senior Actuarial Analyst in Scottsdale, Arizona
        Posted on: 2/7/2021
        [Apply Now]


        Other Jobs Within 60 Miles Consulting Actuary - Provider Specialist in Denver , Colorado
        Posted on: 1/31/2021
        [Apply Now]

        Senior Actuarial Analyst in Denver , Colorado
        Posted on: 2/4/2021
        [Apply Now]

        Senior Consulting Actuary in Denver , Colorado
        Posted on: 2/7/2021
        [Apply Now]

        Consulting Actuary in Denver , Colorado
        Posted on: 2/7/2021
        [Apply Now]

Keywords: Patelco Credit Union, Denver , Senior Consulting Actuary - Provider Specialist, Accounting, Auditing , Denver, Colorado

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Associate Financial Services Professionals
Description: The Associate Financial Services Professional role will launch your professional path in the financial services industry.You will be an ambassador of Schwab by helping to educate and tackle problems
Company: Charles Schwab
Location: Watkins
Posted on: 03/3/2021

Finance Group Leader
Description: Finance Group Leader - Denver, CODo you have the ability to motivate a team to get the best from each individual How about offering up your skills in a global business that is committed to moving money (more...)
Company: Western Union
Location: Denver
Posted on: 03/3/2021

Associate Financial Services Professionals
Description: The Associate Financial Services Professional role will launch your professional path in the financial services industry.You will be an ambassador of Schwab by helping to educate and tackle problems
Company: Charles Schwab
Location: Conifer
Posted on: 03/3/2021


Remote Tax Senior (Contract)
Description: Remote Tax Senior br br Compensation: 45 - 55 / hour br br Location: Remote br br Duration: 2-3 months this role would be during the Spring 2021 tax busy season. Preferably that would include (more...)
Company: Beech Valley Solutions
Location: Denver
Posted on: 03/3/2021

Sr Auditor, Corp Compliance
Description: Sr Auditor, Corp ComplianceDenver,--CO,--USPermanent-----RJob descriptionThe Senior Auditor of Compliance is a self-motivated, adaptive, quick learner who can manage and prioritize an evolving workload (more...)
Company: vedsoft
Location: Denver
Posted on: 03/3/2021

Accounting/ Inventory Internship
Description: hear.com is the fastest growing hearing aid company in the world. We believe that everyone should hear well to live well. With our unique digitalized business model, we've changed the way hearing aids (more...)
Company: hear.com
Location: Denver
Posted on: 03/3/2021

Financial Advisor - Successor
Description: We Are Currently In The Market For The Following br br Core Group Resources is America's leading financial services recruitment company. Core Group Resources expertise is unmatched in the financial (more...)
Company: Core Group Resources
Location: Denver
Posted on: 03/3/2021

Sr. Payment Advisor, Institutional Healthcare
Description: Sr. Payment Advisor, Instutional HealthcareJOB DESCRIPTIONABOUT THE JOB JOB BRIEF KeyBank is changing the way existing clients and prospective customers think about their banking partnerships and long (more...)
Company: KeyBank
Location: Denver
Posted on: 03/3/2021

Cash Management Accountant
Description: Staff Accountant position in Fort Collins, Colorado br br Responsibilities Will
Company: Addison Group
Location: Johnstown
Posted on: 03/3/2021

Associate Financial Services Professionals
Description: The Associate Financial Services Professional role will launch your professional path in the financial services industry.You will be an ambassador of Schwab by helping to educate and tackle
Company: Charles Schwab
Location: Golden
Posted on: 03/3/2021

Log In or Create An Account

Get the latest Colorado jobs by following @recnetCO on Twitter!

Denver RSS job feeds