Consultant – Actuarial Analysis at Palladium Group

Palladium is a global leader in the design, development and delivery of Positive Impact - the intentional creation of enduring social and economic value. We work with foundations, investors, governments, corporations, communities and civil society to formulate strategies and implement solutions that generate lasting social, environmental and financial benefits.For the past 50 years, we have been making Positive Impact possible. With a team of more than 2,500 employees operating in 90 plus countries and a global network of more than 35,000 technical experts, Palladium has improved - and is committed to continuing to improve - economies, societies and most importantly, people's lives.We are recruiting to fill the position below:Job Title: Consultant - Actuarial Analysis of the Osun State Health Insurance SchemeLocation: OsunProject Overview and RoleThe Osun state Government has signed into law, a bill that establishes the Osun State Health Insurance Scheme (OHIS) with the overall goal of ensuring all residents of the state have access to quality and affordable health care services with financial and social risk protection. As part of the design of the scheme, a health benefits package has been developed to ascertain the health services to be provided as entitlement to enrollees on the scheme.The overall aim of this consultancy is to support the pricing of the Osun benefit package and determine an actuarially fair priced premium including the appropriate distribution of medical claim costs, admin costs and reserve margin and the appropriate payments for capitation and fee for service for providers in order to inform the selection of a financially sustainable premium and processes for OHIS.ResponsibilitiesDeliverables:A comprehensive actuarial study report for the Osun benefit package scenarios containing:Appropriate premium (Individual and Family package) to cover medical costs, overhead administrative costs, and reserve margin of the scheme.Determination of an appropriate premium rate for individual/household package and additional family members.Modular pricing for the Osun benefit package including the different scenarios and disease conditions for individual and household packages.Rates for medical payouts (Capitation fee and Fee-for-Service), including tariff structure for procedures, consultations, pharmaceuticals and diagnostics.Rates for administration fee to HIAs/TPAs/OHIS.Expected Period of performance of the consultant: 10th December to January 15th 2018. 

Apply at