Actuarial Consultant

About the role

Join our team to make work better for humans and humans better at work. You will provide strategic and technical consulting services to public sector clients, support engagements focused on Medicaid reimbursement, and participate in the transformation of the health care sector through innovative actuarial solutions.

Responsibilities

• Provide strategic and technical consulting services to public sector clients
• Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment
• Support business development efforts for Federal and State governments, employer groups, and other public entities
• Transform the health care sector through innovative actuarial solutions, such as AI-driven solutions, development of frameworks inclusive of social drivers of health, and transition of payment models to value-based payment frameworks
• Address complex, ill-defined problems with strong technical and innovative approaches
• Apply business-oriented strategies to enhance client outcomes and solutions
• Collaborate with cross-functional teams to deliver comprehensive actuarial services
• Engage in continuous learning and adaptation to emerging health care trends and technologies

Requirements

• Required: Bachelor's degree, 2+ years of health actuary experience in consulting and/or health plan/insurance company, 1+ year of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development, Exam progress toward ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries)
• Preferred: ASA with progression to FSA, FSA, or career ASA designation, Experience providing Medicaid consulting services to government agencies, Experience with Medicaid waivers, including 1115, 1915(b/c), and 1332 waivers, Experience with risk adjustment mechanisms, Experience with provider reimbursement streams, including DSH, UPL, etc., Experience with reimbursement models, including value-based care/ACO modeling, Knowledge of group insurance products including disability, long-term care, etc.

Qualifications

• Ability to work independently and collaborate as part of a team
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines

Skills

• Strong technical and innovative approaches
• Business-oriented strategies
• Continuous learning and adaptation to emerging health care trends and technologies

Benefits

The benefits package includes:

• Health, dental, and vision insurance
• 401(k) retirement savings plan
• Flexible spending accounts
• Employee assistance program
• Comprehensive wellness programs

Pay

Commensurate with experience

Schedule

Varies based on the work you do and the clients and industries/sectors you serve