Salary : $72,238.40 - $111,238.40 Annually
Location : Des Moines - 50319 - Polk County, IA
Job Type: Full-time
Job Number: 26-02181
Agency: 400 Health & Human Services - Medicaid
Opening Date: 02/17/2026
Closing Date: 3/3/2026 11:59 PM Central
LinkedIn Tag: #LI-POST
Point of Contact: Soraya Miller - soraya.miller@hhs.iowa.gov

Job Description
The Iowa Department of Health and Human Services (HHS) is seeking a Medicaid Actuary to lead financial and actuarial analysis for Iowa's Medicaid managed care program. This role is critical to ensuring financial integrity and compliance while supporting data-driven decisions that impact healthcare for thousands of Iowans.

What's Required

Schedule: Monday - Friday 8am - 4:30pm.
Location: Report to the Lucas Building in Des Moines two (2) days per week.
Knowledge of Medicaid Programs and Policies.
Strong verbal and written communication skills.

What You'll Do

Develop and monitor actuarially sound capitation rates for Managed Care Organizations (MCOs) and Dental Plans.
Research & Analyze encounter data, claims trends, and costs to support rate setting.
Evaluate financial performance, risk corridors, and Pay-for-Performance benchmarks.
Prepare reports on Medical Loss Ratios (MLRs) and financial reconciliations.
Forecast budgets and develop models to predict cost and utilization trends.
Ensure compliance with CMS and state audit standards.

What We're Looking For

Strong background in actuarial science, finance, or related field.
Experience with Medicaid or healthcare financial analysis preferred.
Proficiency in Excel and actuarial/financial tools (SAS, R, SQL).
Ability to present complex data clearly to leadership and stakeholders.

Make an impact on healthcare in Iowa-apply today!

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a comprehensive benefits package designed to support your well-being and professional growth:

Health, Dental, and Vision Coverage: Health and dental insurance packages to keep you and your family healthy at a low cost with outstanding coverage!
Paid Time Off: Take time to recharge with paid time off, including vacation (96 hours/year to begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9 days/year).
Retirement Plans: Participate in retirement plans such as IPERS (employees contribute 6.29% and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC), Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to $75/month).
Flexible Spending Accounts: Take advantage of flexible spending accounts for medical and dependent care expenses.
Insurance Coverage: Benefit from life insurance and free long-term disability insurance for added peace of mind.
Employee Assistance Program: Access resources and support through our Employee Assistance Program for personal and professional challenges.
Employee Discount Programs: Enjoy discounts on a variety of goods and services through our employee discount programs.

For additional information on benefits

to see how we compare with other employers or offers by using our Total Compensation Calculator.

Background Checks

Applicants will be required to complete a background check to be considered for this position.

The State of Iowa is an EEO/AA Employer

HHS values those with "lived experience" and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired - Relay Iowa 1-800-735-2942 TDD).

E-Verify and Right to Work
The State of Iowa participates in E-Verify, a federal program that helps employers confirm the employment eligibility of all newly hired employees. Within the required timeframe, new hires will be verified through the E-Verify system to ensure authorization to work in the United States. The State of Iowa also complies with the federal Right to Work laws, which protect employees' rights to work without being required to join a labor organization. For more information, please visit .
Minimum Qualification Requirements

Graduation from an accredited college or university with major coursework in mathematics, statistics, or actuarial science and the experience equal to three years of full-time work conducting actuarial studies;
OR
an equivalent combination of education and experience substituting the equivalent of one year of qualifying experience for each year of the required education to a maximum substitution of four years;
OR
graduate level coursework in actuarial science or statistics may be substituted for up to one year of the required experience on the basis of 30 semester hours equals one year of experience;
OR
completion of each part of the casualty or life actuarial examination may be substituted for three months of the required experience with a maximum substitution of one year.

For additional information, please click on this
Why Choose the State of Iowa?

At the heart of our commitment to excellence is a dedication to our most valuable asset - our employees. Discover the outstanding benefits that set us apart as an employer of choice.

Our Robust Benefits Package Includes:

Competitive Compensation:

Enjoy a competitive salary that reflects directly on your skills and expertise.

Keep in mind, your wage is just one part of your total compensation. Unlock the complete value of your employment with the State of Iowa by using our user-friendlyGain insights into your comprehensive annual compensation, including salary and State-provided benefits.

Health and Wellness:

Prioritize your well-being with our comprehensive health plans, including medical, dental, and vision coverage. Enjoy the peace of mind knowing that the State of Iowa covers 90% of the premiums, providing you and your loved ones with excellent coverage at a remarkably low cost.

Retirement Planning:

We are proud to offer the Iowa Public Employees Retirement System (IPERS). A defined benefit plan, IPERS benefits are guaranteed for life, meaning once you retire, you will receive the same monthly benefit for the remainder of your life (once vested). We invest in your long-term financial well-being, so you can retire with peace of mind.

Paid Time Off:

Life is unpredictable, and at the State of Iowa, we understand the importance of work-life balance. Our leave policies, including paid holidays, vacation, and sick leave with unlimited accrual, ensure you have the flexibility you need for personal and family matters.

Professional Development:

Elevate your career with continuous learning opportunities. We support your growth through training programs, workshops, and tuition reimbursement.

Employee Assistance Program (EAP):

We care about your well-being beyond the workplace. Access confidential counseling, resources, and support through our Employee Assistance Program.

Diversity and Inclusion:

Be part of a diverse and inclusive workplace that embraces all backgrounds and perspectives. We believe diversity is a strength that drives innovation.

Join Us - Elevate Your Career:

Ready to elevate your career with the State of Iowa?to explore more about our unparalleled benefits and discover what makes us unique. Your success is our priority!
01

Do you understand that the answers to all of the following questions must be truthful, honest, and accurate to the best of your ability? Please read all questions and answers thoroughly and make sure you understand them completely. Ensure the answers to your questions match the information filled out on your application and the attachments you have uploaded. If the answers to your questions are inconsistent with your application information or uploaded attachments, you will be given zero points for the question. Knowingly misrepresenting the facts when submitting any information related to an application, examination, certification, appeal, or any other facet of the selection process will result in your disqualification from this application and future employment with the state of Iowa.

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02

PLEASE READ CAREFULLY
Have you filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq?

No - I have NOT filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq
Yes - I HAVE filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq

03

Do you have a degree or have major course work in mathematics, statistics, or actuarial science? (You may attach a transcript to the application in the documents section.)

Yes
No

04

Describe applicable "actuarial" work experience from previous roles where you have done risk analysis or financial modeling/analysis? Please list employer, dates of employment, and specific description of actuarial work duties.
Required Question

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