Consulting - Healthcare - Payer Actuarial - Senior Manager

Location: Anywhere in Country

 

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Actuarial Senior Manager – Consulting (Healthcare)

 

The Opportunity

EY is seeking an Actuarial Senior Manager to join our Healthcare Consulting practice. This role supports multidisciplinary consulting teams by providing actuarial and analytical leadership across complex client engagements involving health plans, managed care organizations, and healthcare‑adjacent entities.

In addition to deep actuarial expertise, this role emphasizes technology‑enabled analytics, AI‑supported insights, and external thought leadership, helping clients modernize actuarial, finance, and decision‑support capabilities while addressing regulatory, financial, and operational challenges.

 

Key Responsibilities

Actuarial & Analytical Leadership

• Lead actuarial workstreams supporting risk‑based capital (RBC) management, surplus strategy, and capital adequacy assessments.
• Oversee claims trend analyses, experience studies, and forecasting to inform pricing, reserving, and financial planning.
• Support product pricing and rate development across commercial and government programs, including Medicare and Medicaid.
• Provide actuarial leadership on valuation and reserving services, including claim liabilities and actuarial support for financial reporting.
• Ensure actuarial analyses comply with applicable Actuarial Standards of Practice (ASOPs) and regulatory expectations.

 

Technology, Data & AI Enablement

• Partner with technology and analytics teams to apply advanced analytics, automation, and AI‑enabled tools to actuarial and financial use cases.
• Support clients in modernizing actuarial operating models, including data pipelines, reporting automation, forecasting tools, and decision‑support dashboards.
• Translate actuarial requirements into clear inputs for data scientists, engineers, and AI practitioners.
• Evaluate emerging technologies and AI applications relevant to actuarial, finance, and healthcare operations.

 

Consulting Delivery & Client Leadership

• Partner with engagement leaders to scope, deliver, and manage actuarial components of complex consulting engagements.
• Translate technical actuarial analyses into clear, executive‑level insights for C‑suite leaders, boards, and regulators.
• Advise clients on process optimization, internal reporting, and management information frameworks.
• Manage engagement risk, timelines, and quality, delivering high‑quality work products on time and within budget.

 

Thought Leadership & Practice Development

• Develop internal and external thought leadership, including white papers, point‑of‑view documents, client presentations, and conference materials.
• Contribute to EY’s market‑facing perspectives on healthcare, insurance, actuarial modernization, and AI‑enabled decision making.
• Support business development through proposal development, solution shaping, and client discussions.
• Lead and mentor actuarial and consulting professionals, fostering a high‑performance and inclusive team environment.

 

Skills and Attributes for Success

• Strong actuarial and analytical expertise combined with a technology‑enabled, forward‑looking mindset.
• Ability to communicate complex concepts clearly to non‑technical and executive audiences.
• Experience working across actuarial, finance, technology, and analytics teams.
• Executive presence and strong written, verbal, and presentation skills.
• Proven ability to manage teams, multiple priorities, and complex client engagements.

 

To Qualify for the Role, You Must Have

• Bachelor’s degree in actuarial science, mathematics, statistics, economics, or a related quantitati