Actuarial Consultant with Medicaid Experience
Posted 4 weeks ago Expired
This job has expired
Looking for a job like Actuarial Consultant with Medicaid Experience in or near Rochester, NY? Upload your resume and we'll notify you when similar positions become available.
Upload Your ResumeAbout This Role
The Actuarial Consultant with Medicaid Experience will provide strategic and technical consulting services to public sector clients, focusing on Medicaid reimbursement and policy. This role supports the transformation of the healthcare sector through innovative actuarial solutions for government clients.
Responsibilities
- Provide strategic and technical consulting services to public sector clients
- Support engagements focused on Medicaid reimbursement, including actuarial rate development
- Support business development for Federal and State governments and other public entities
- Participate in the transformation of the health care sector through innovative actuarial solutions
- 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
Requirements
- 2+ years of health actuary experience and consulting or health plan/insurance company experience
- 1+ year(s) of experience with Medicaid managed care capitation rate development or fee-for-service rate development
- Exam progress towards ASA or FSA
- Bachelor's Degree
Qualifications
- Bachelor's Degree
- 2+ years of health actuary experience and consulting and/or health plan/insurance company experience
Nice to Have
- 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.
Skills
* Required skills
About Deloitte
A company transforming technology platforms, driving innovation, and transforming mission-critical operations for clients, especially in the Life Sciences sector.