Closer to client-facing consulting than a specialist modelling role because business development and public-sector engagement work are explicit parts of the position.
Senior Health actuarial consulting role in Deloitte’s Government and Public Services practice, based in Minneapolis. You’ll advise public-sector clients on Medicaid capitation and fee-for-service rate development, policy, forecasting, fiscal analysis, and risk adjustment, while supporting business development and emerging payment-model work.
Requirements
Must have
Must be legally authorized to work in the United States without the need for employer sponsorship
Strongly preferred
5+ years of health actuary experience
Consulting and/or health plan/insurance company experience
2+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development
Ability to travel up to 20-50%
Exam progress towards ASA or FSA
Bachelor's Degree
Nice to have
ASA with progression to FSA, FSA, or career ASA designation
Experience providing Medicaid consulting services to Government agencies
Experience with Medicaid waivers (i.e., 1115, 1915 b/c, 1332)
Experience with risk adjustment mechanisms
Experience with Provider reimbursement streams (i.e., DSH, UPL, etc.)
Experience with health care reform and working knowledge of the individual medical and small group markets
Experience with Medicare products, including Medicare Advantage or Medicare Supplement products
Experience with reimbursement models - including value based care/ACO modeling
Skills & Domain
DomainMedicaid managed care capitation rate developmentMedicaid fee-for-service rate developmentHealth actuarial consulting or health plan experience
