Medicaid Actuarial Manager
About the role
Join our team to make work better for humans and humans better at work.
The team
Deloitte’s Government and Public Services (GPS) practice serves federal, state, & local government clients as well as public higher education institutions. Our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Work you'll do
- Provide strategic and technical consulting services to public sector clients
- Lead 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
- Lead and manage end-to-end business development efforts for Federal and State governments, employer groups, and other public entities, including proposal development and capture
- Participate in the transformation of 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
- Ability to work independently and collaborate as part of a team
- Effective written and verbal communication skills
- Meticulous attention to detail and quality of work product
- Ability to build and sustain professional relationships
- Ability to lead projects or workstreams
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
- Strong interpersonal skills and professional demeanor
- Ability to meet deadlines
- Ability to mentor and provide clear guidance to others
Qualifications
- Bachelor’s Degree required
- 10+ years of health actuary experience and consulting and/or health plan/insurance company experience
- 5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development
- 1+ years of experience managing and leading teams OR 1+ years of experience managing and leading teams and leading business development efforts, including selling services to prospective and existing clients
- ASA with progression to FSA or FSA
- Prior business development experience, preferably for state/local government clients
- Experience providing Medicaid consulting services to Government agencies
- Experience with Medicaid waivers (i.e., 1115, 1915 b/c, 1332)
- Experience with risk adjustment mechanisms
- Experience with Provider reimbursement streams (i.e., DSH, UPL, etc.)
- Experience with health care reform and working knowledge of the individual medical and small group markets
- Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types
- Familiarity with group insurance products including disability, long term care, etc.
- Experience with product design and/or product strategy
- Experience with reimbursement models – including value-based care/ACO modeling
- Experience understanding trends in the marketplace
Pay
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $148,200 to $292,300.
Benefits
At Deloitte, we offer a comprehensive benefits package that includes:
- Discretionary annual incentive program
- Opportunities for professional development
- Inclusive culture that values diversity and promotes growth
- Flexible work arrangements
- Health, wellness, and financial benefits