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Medicaid Actuarial Manager

Deloitte

Medicaid Actuarial Manager

Minneapolis, Minnesota, United States4h ago
OnsiteMedicaidMedicare AdvantageMedicare Supplement

Role Summary

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HIGHLIGHTS

Manager-level consulting role in Deloitte's Government and Public Services practice, focused on Medicaid reimbursement and actuarial rate development for state and federal clients. You will lead engagements on managed care and fee-for-service rate setting, budget forecasting, and business development, while also contributing to innovative actuarial solutions including AI and value-based payment models.

JOB DESCRIPTION SUMMARY

  • Lead Medicaid rate development for managed care and fee-for-service
  • Drive business development and proposal efforts for public sector clients
  • Advise on Medicaid policy, budget forecasting, and risk adjustment
  • Collaborate cross-functionally on innovative actuarial solutions
  • Mentor team members while managing multiple project workstreams

DOMAIN EXPERTISE

  • Medicaid managed care capitation rate development
  • Fee-for-service rate development
  • Medicaid waivers (1115, 1915 b/c, 1332)
  • Risk adjustment mechanisms
  • Provider reimbursement streams

KEY REQUIREMENTS

  • 10+ years health actuary experience
  • 5+ years Medicaid managed care or fee-for-service rate development
  • 1+ years managing teams and/or business development
  • ASA progressing to FSA or FSA designation
  • Eligible to work in the US without sponsorship

TECH STACK

  • No tech stack specified