Medicaid Actuarial Manager
Deloitte
- Salary
- $148k - $292k
- Experience
- 10+ Years
Role Summary
Role type
Client-facing government healthcare consulting
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
