Actuarial Consultant with Medicaid Experience
MedicaidMedicare AdvantagePricing & RatingPredictive Modelling & MLRegulatory Reporting
Role Summary
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Health actuarial consulting role focused on Medicaid reimbursement and rate development. You'll support capitation and fee-for-service rate-setting, risk adjustment, and budget/fiscal analyses for government clients. Associate-level role based in Arlington, VA with travel of 20–50% and expectation of progress toward ASA/FSA.
JOB DESCRIPTION SUMMARY
- Develop Medicaid capitation and fee-for-service rates for state and federal clients
- Perform risk adjustment, budget forecasting, and fiscal analyses for public sector
- Consulting role supporting business development and cross-functional client delivery
- Travel required: up to 20–50% depending on client needs
- Associate-level position; exam progress toward ASA/FSA expected
DOMAIN EXPERTISE
- health actuarial consulting or health plan experience
- Medicaid managed care capitation or fee-for-service rate development
KEY REQUIREMENTS
- 2+ years of health actuarial experience including consulting or health plan work
- 1+ year experience with Medicaid managed care capitation or fee-for-service rate development
- Must be legally authorized to work in the US without sponsorship
- Progress toward ASA or FSA required (exam-writing status expected)
- Bachelor's degree required
TECH STACK
- No tech stack specified
