
at Deloitte
Big FourPosted 6 days ago
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- Compensation
- $137,700 – $229,500 USD
- City
- Chicago, Minneapolis
- Country
- United States
Currency: $ (USD)
Full Job Description
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Medicaid Actuarial Senior Consultant
Chicago, Illinois, United States
Minneapolis, Minnesota, United States
Tempe, Arizona, United States
Caution against fraudulent job offers. Learn more.
Position Summary
- 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 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
- 5+ years of health actuary experience and consulting and/or health plan/insurance company experience
- 2+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development
- Ability to travel up to 20-50%, on average, based on the work you do and the clients and industries/sectors you serve
- Exam progress towards ASA or FSA
- Bachelors Degree
- 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 (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
- Experience with reimbursement models including value based care/ACO modeling
- Knowledge of group insurance products including disability, long term care, etc.
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