Actuarial Consultant
Indexed description
Work you'll do
As an Actuarial Consultant on the Government & Public Services team, you will:
- Provide strategic and technical consulting services to public sector clients
- Support 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
- Support business development efforts for Federal and State governments, employer groups, and other public entities
- 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 manage and prioritize multiple tasks in a fast-paced and dynamic environment
- Strong interpersonal skills and professional demeanor
- Ability to meet deadlines
- Ability to provide clear guidance to others
Our Insights, Innovation, & Operate offering provides key aspects of our clients' businesses with technology, data, and deep technical and human capabilities. Innovates and delivers creative, industry-centric solutions that streamline work and accelerate speed-to-value.
Qualifications
Required:
- Bachelor's degree
- 2+ years of health actuary experience in consulting and/or health plan/insurance company
- 1+ year of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development
- Exam progress toward ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries)
- Ability to travel 10-50%, on average, based on the work you do and the clients and industries/sectors you serve
- Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
- ASA with progression to FSA, FSA, or career ASA designation
- Experience providing Medicaid consulting services to government agencies
- Experience with Medicaid waivers, including 1115, 1915(b/c), and 1332 waivers
- Experience with risk adjustment mechanisms
- Experience with provider reimbursement streams, including DSH, UPL, etc.
- Experience with reimbursement models, including value-based care/ACO modeling
- Knowledge of group insurance products including disability, long-term care, etc.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
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