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
• Able to build and sustain professional relationships
• Able to lead projects or workstreams
• Able to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Able to meet deadlines
• Able 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

$148,200 to $292,300

Schedule

Not specified