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Health & Welfare Director

PricewaterhouseCoopers LLC


Source:
Pricewater House
Location:
Los Angeles, CA 90002
Date:
06/20/2017
2017-06-202017-07-21
Categories:
  • Management
  • Human Resources
  • Accounting
  • Biotechnology / Science
  • Consulting
  • Executive
  • Financial Services
  • Employment
PricewaterhouseCoopers LLC
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Job Details

PwC/LOS Overview
Are you interested in the opportunity to work for an industry-leading firm that services clients that include the Fortune 500, and will give you the experience and exposure you need to build your career and personal brand? If you are, then PricewaterhouseCoopers LLP (www.pwc.com/us) is the firm for you. PricewaterhouseCoopers LLP (PwC US) helps clients meet the challenges and opportunities of the US marketplace in the areas of assurance, tax, and advisory. We offer the advantage of being part of a global network of firms combined with detailed knowledge of local, state and US national issues. More than 180,000 people in over 158 countries across the PwC network are committed to deliver quality in assurance, tax and advisory services.

People across the PwC network share knowledge, experience and solutions to develop fresh perspectives and deliver practical advice.





At PwC US, you will be part of a learning culture, where teamwork and collaboration are encouraged, excellence is rewarded, and diversity is respected and valued. We offer a flexible career progression model that allows for a variety of challenging opportunities throughout your career. We provide unparalleled coaching, mentoring, and career development programs; global opportunities; and state of the art technology-driven methodologies to help you provide quality service to our clients.





The PwC network is a global market leader in tax services.

We assist businesses, individuals, and organizations with tax strategy, planning, and compliance, while also delivering a wide range of business advisory services.

With over 32,000 tax professionals, this means that the PwC network can support our clients both locally and globally.

We have experience working with an expansive and diverse client-base, which comprises all types of businesses
multinationals, local companies, privately-owned organizations, entrepreneurs, family businesses, trusts, partnerships, and private individuals.

Job Description
As a member of the Healthcare and benefits consulting practice, you will work with healthcare payers, providers, pharmaceuticals, and federal/state/local government agencies on a wide variety of consulting and assurance services to help them evaluate, strategize, develop, and manage their product portfolios, pricing/financial reporting, funding requirements, risk quantification, provider reimbursement, data analytics, and compliance. You will provide actuarial related services to a wide range of companies, as well as assisting a large number of clients with specific issues that they may have.





Healthcare and Consulting Services include but not limited to:


- Product development / pricing / rate filing


- Medicare strategy


- Medicare, Medicaid, and ACA compliance


- Vendor selection/implementation


- Vendor/plan performance reviews


- Actuarial valuation / financial reporting


- Medicare / commercial risk adjustment


- Other actuarial analysis and data analytics


- Postretirement programs/Medicare Part D


- Provider reimbursement redesign / contracting / risk sharing


- Enterprise Risk Management / risk assessment

Position/Program Requirements
Basic Qualifications:







Minimum Years of Experience: 8 years


Minimum Degree Required: Bachelor of Science or Bachelor of Arts degree


Minimum Degree Required Major: Actuarial Sciences, Mathematics, Statistics or Finance


Certification(s) Required: Associate of the Society of Actuaries, ASA, or Fellow of the Society of Actuaries, FSA, and MAAA





Degree(s) Preferred: Masters Degree


Preferred Degree Major:

Actuarial Sciences, Mathematics, Statistics or Finance





Knowledge Preferred:





Demonstrates proven intimate levels of, and/or success in roles directing functions or projects involving, actuarial aspects of government programsi.e. Medicare/Medicaid
and commercial markets and issues in a major consulting firm or corporate environment, emphasizing areas that include

health plan financial reporting, data analysis, pricing/underwriting, and compliance issues.





Skills Preferred:





Demonstrates proven intimate abilities and success in roles with interpreting, leveraging, and understanding the impact of the following as it relates to the healthcare and benefits-related consulting: Affordable Care Act, ACA, Medicare/Medicaid pricing, and financial reporting issues; Healthcare Analytics and its impact on risk adjustment and risk Management;





Demonstrates proven expert-level abilities and success in roles driving the identification and addressing of client needs: developing and sustaining deep client relationships using networking, negotiation and persuasion skills to identify and sell potential new service opportunities; preparing and presenting complex written and verbal materials; and defining resource requirements, project workflow, budgets, billing and collection.





Demonstrates thought leader-level abilities and success in roles serving as a functional or team leader: leading teams to generate a vision, establish direction and motivate members, create an atmosphere of trust, leverage diverse views, coach staff, and encourage improvement and innovation.