Closer to client-facing consulting than a pricing specialist role because business development, proposals, and public-sector engagement leadership are explicit parts of the remit.
Manager-level Health actuarial consulting role in Deloitte's Government and Public Services practice, based in Tulsa, Oklahoma. You will advise public-sector clients on Medicaid capitation and fee-for-service rate development, reimbursement, policy, forecasting, risk adjustment, and payment-model transformation while leading teams and business development.
Requirements
Must have
Bachelor's Degree
Must be legally authorized to work in the US without employer sponsorship
Strongly preferred
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 leading business development efforts
ASA with progression to FSA or FSA designation
Ability to travel 10-50% on average
Nice to have
Prior business development experience, preferably for state/local government clients
Experience providing Medicaid consulting services to Government agencies
Experience with Medicaid waivers (1115, 1915 b/c, 1332)
Experience with risk adjustment mechanisms
Experience with Provider reimbursement streams (DSH, UPL, etc.)
Experience with health care reform and working knowledge of individual medical and small group markets
Experience with reimbursement models including value-based care/ACO modeling
Experience understanding trends in the marketplace
Skills & Domain
DomainMedicaid managed care capitation rate developmentMedicaid fee-for-service rate developmentHealth actuary consulting or health plan experience
