Deloitte

Medicaid Actuarial Manager

Deloitte$148K — $292K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree required
  • 10+ years of health actuary experience and consulting or health plan/insurance company experience
  • 5+ years of experience with Medicaid managed care rate development
  • 1+ years of experience managing teams or leading business development efforts
  • ASA with progression to FSA or FSA certification
  • Ability to travel 10-50% based on client needs
  • Must be legally authorized to work in the U.S. without sponsorship

Responsibilities

  • Provide strategic and technical consulting to public sector clients
  • Lead Medicaid reimbursement engagements including actuarial rate development
  • Manage end-to-end business development efforts for public entities
  • Transform health care sector through innovative actuarial solutions
  • Address complex problems with strong technical approaches
  • Apply business strategies to enhance client outcomes
  • Collaborate with cross-functional teams for comprehensive actuarial services
  • Engage in continuous learning to adapt to health care trends

Benefits

  • Broad range of employee benefits
  • Opportunities for professional development
  • Access to a discretionary annual incentive program based on performance
  • Collaboration with talented professionals in a supportive environment
  • Innovative projects to drive transformation in the healthcare sector
Full Job Description
Work you'll do

As an Actuarial Manager, you will:
  • 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
A successful candidate would possess these skills:
  • 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

Required:
  • 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
  • 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
Preferred:
  • 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
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.

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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Benefits

At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you.

About Deloitte

Deloitte is a multinational professional services network that provides audit, tax, consulting, enterprise risk and financial advisory services. The company was founded in London in 1845 and has since grown to become one of the largest professional services firms in the world. Deloitte has over 330,000 employees in more than 150 countries and territories. The company's mission is to help clients achieve their goals and make an impact that matters in their businesses and communities.
Learn more about Deloitte
Size
330,000 employees
Industry
Founded
1999

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