About the Role
The role involves leading actuarial projects related to Medicaid programs, delivering strategic insights, supervising analysis, and serving as a primary contact for clients needing actuarial and regulatory compliance support.
Responsibilities
- Lead actuarial evaluations for Medicaid programs including rate development and risk adjustment
- Oversee financial modeling for state healthcare initiatives
- Manage client relationships with government agencies and managed care organizations
- Supervise the preparation of actuarial reports and regulatory filings
- Provide expert guidance on Medicaid policy changes and their financial impact
- Direct teams in conducting reserve analyses and claims projections
- Ensure compliance with actuarial standards and state-specific requirements
- Develop pricing frameworks for public health insurance bids
- Support audits and regulatory examinations with actuarial documentation
- Collaborate with consultants on program design and benefit analysis
- Present findings to stakeholders, including state officials and executives
- Mentor junior actuaries in technical and client-facing skills
- Coordinate with legal and policy experts on healthcare reform initiatives
- Evaluate provider payment methodologies and capitation rates
- Assess solvency and financial viability of Medicaid plans
- Conduct trend analysis for healthcare utilization and cost drivers
- Review data quality and assumptions used in actuarial models
- Lead responses to client RFPs and proposal development
- Maintain up-to-date knowledge of federal and state Medicaid regulations
- Ensure timely delivery of high-quality actuarial deliverables
Compensation
Competitive salary and performance-based incentives
Work Arrangement
Hybrid remote with periodic client site visits
Team
Collaborative team of actuarial professionals working across public sector health engagements
Why Join Us
- Opportunity to shape public healthcare policy through actuarial leadership
- Work on high-impact projects with direct influence on state programs
- Supportive environment that values technical excellence and innovation
Professional Development
- Access to continuing education and actuarial conference sponsorships
- Internal technical training and peer review processes
- Leadership development for client-facing actuaries
Not available for this position
