Government Healthcare Actuary Lead

About the role

Mercer’s Government Human Services Consulting (GHSC) practice is dedicated to helping publicly funded health and human services clients transform their healthcare programs, impacting the lives of millions in our most vulnerable communities. We believe that each project is an opportunity to build trust between our team and our clients, and we back each project with industry leading experience and multi-disciplinary specialists.

Responsibilities

• Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting multiple large, complex capitation rate-setting and other actuarial projects
• In conjunction with other project leaders, work with the client to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards
• Oversee the development of rate-setting assumptions that are built into actuarial models and inform client and project teams on the impact of data and assumptions, and provide on-going review and guidance throughout the rate setting process
• Thrive and be motivated by an environment that embraces AI and technology-enabled tools
• Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions
• Oversee the drafting of project communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion
• Work with project leaders to identify growth and development opportunities for experienced actuaries, junior actuaries, and actuarial students on project teams. Provide guidance, oversight and mentoring for actuarial staff as needed

Requirements

• BA/BS degree
• 10+ years minimum health actuarial experience, with 5+ years of Medicaid actuarial experience
• Actuarial credentials (ASA, FSA, MAAA)
• Experience leading large multi-disciplinary teams and large, complex projects

Qualifications

• Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies
• Actuarial consulting experience
• Ability to handle client and project management in a demanding work environment with tight deadlines
• Experience related to health plan analysis or capitated rate development

Skills

• Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies
• Experience leading large multi-disciplinary teams and large, complex projects

Benefits

We help you be your best through professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. Mercer is a business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective.

Pay

Not specified

Schedule

Hybrid role that requires working at least three days a week in the office.