Role Summary

HIGHLIGHTS

Senior health actuarial consulting role at Deloitte's Government & Public Services practice. Focused on Medicaid reimbursement, managed care and fee-for-service rate development, policy analysis, and value-based payment transformation for state and federal clients. Ideal for experienced actuarial professionals with deep Medicaid expertise and progress toward ASA/FSA.

JOB DESCRIPTION SUMMARY

Develop Medicaid capitation and fee-for-service rates for public sector clients
Support business development and consulting engagements for government agencies
Apply innovative actuarial solutions including AI-driven frameworks and value-based payment models
Lead project workstreams, mentor junior staff, and collaborate cross-functionally

DOMAIN EXPERTISE

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

KEY REQUIREMENTS

5+ years of health actuary experience, including consulting or health plan/insurance
2+ years of Medicaid managed care capitation or fee-for-service rate development
Exam progress toward ASA or FSA
Must be legally authorized to work in the US without sponsorship
Bachelor's degree required

TECH STACK

No tech stack specified

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Develop Medicaid capitation and fee-for-service rates for public sector clients
Support business development and consulting engagements for government agencies
Apply innovative actuarial solutions including AI-driven frameworks and value-based payment models
Lead project workstreams, mentor junior staff, and collaborate cross-functionally

DOMAIN EXPERTISE

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

KEY REQUIREMENTS

5+ years of health actuary experience, including consulting or health plan/insurance
2+ years of Medicaid managed care capitation or fee-for-service rate development
Exam progress toward ASA or FSA
Must be legally authorized to work in the US without sponsorship
Bachelor's degree required

TECH STACK

No tech stack specified

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Develop Medicaid capitation and fee-for-service rates for public sector clients
Support business development and consulting engagements for government agencies
Apply innovative actuarial solutions including AI-driven frameworks and value-based payment models
Lead project workstreams, mentor junior staff, and collaborate cross-functionally

DOMAIN EXPERTISE

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

KEY REQUIREMENTS

5+ years of health actuary experience, including consulting or health plan/insurance
2+ years of Medicaid managed care capitation or fee-for-service rate development
Exam progress toward ASA or FSA
Must be legally authorized to work in the US without sponsorship
Bachelor's degree required