Healthcare Actuarial with experience in USA

Project status
Project start date
As soon as possible
Project posted
30 Nov 2018 08:48
Project duration (approx.)
1 Week
Budget (approx.)
US$800 / day
Level of Experience
Hospital & Health Care
Area of expertise
Accounting and Finance

Objectives and Key Deliverables

We are searching for healthcare actuarial experts within the healthcare space, with preferably USA healthcare sector experience. This is in preparation for a project that is likely to start very soon, and we need to have the candidate engaged in the early part of next week for preparatory activities.

- We need support in an advisory type situation to review APG (ambulatory payment group), DRG (diagnosis related group), and CPT/RVU (relative value unit) pricing methodology and calculations.
- The intent of the exercise is to align pricing to various strategic elements, such as pricing of certain services at a level that entices external collaboration or investments, or avoiding rapid inflationary healthcare spend.

Technical expertise
- Market access and reimbursement expertise, with knowledge of calculation and analysis of DRG, APG, CPT/RVU;
- Experience in defining payment and reimbursement strategies from the payer side (public or private sectors)
- Experience in developing and implementing healthcare cost containment strategies for payers (public or private sectors)
- Nice to have: market access consulting experience; with a strong focus on DRG and the other aforementioned calculations and track record of serving the payer sector (government and insurance companies) – not currently working for any consulting firm (unless freelance)

Geographical experience in the order of preference
- GCC countries, with focus on UAE
- Germany

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