Medicaid Actuarial Senior Manager

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

Key Skills and Abilities

• 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
• 15+ years of health actuary experience and consulting and/or health plan/insurance company experience
• 8+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development
• 5+ years of experience managing and leading teams
• ASA with progression to FSA or FSA
• Ability to travel up to 25%, on average, based on the work you do and the clients and industries/sectors you serve

Benefits

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