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Role Summary

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HIGHLIGHTS

Health actuary role within Iowa HHS Medicaid leading capitation rate development and financial analysis for Medicaid managed care and dental plans. Responsibilities include encounter/claims analysis, forecasting, MLR reporting, and ensuring CMS compliance. Based in Des Moines, IA with a hybrid schedule (two days/week onsite).

JOB DESCRIPTION SUMMARY

  • Develop and monitor actuarially sound capitation rates for MCOs and dental plans
  • Analyze encounter and claims data to support rate setting and forecasting
  • Prepare MLRs, financial reconciliations, and compliance documentation
  • Hybrid role — report to the Des Moines Lucas Building two days per week
  • Ideal for an Associate-level health actuary with Medicaid experience

DOMAIN EXPERTISE

  • Knowledge of Medicaid programs and policies
  • Experience conducting actuarial studies and rate setting
  • Experience analyzing encounter and claims data
  • Proficiency with SAS, R, and SQL

KEY REQUIREMENTS

  • Graduation from an accredited college with coursework in math, statistics, or actuarial science
  • Minimum of 3 years full-time experience conducting actuarial studies (or approved substitutions)
  • Knowledge of Medicaid programs and policies
  • Proficiency with Excel and tools such as SAS, R, and SQL
  • Ability to pass a background check and work Monday–Friday schedule

TECH STACK

  • Excel
  • PowerPoint
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Role Summary

Loading...

HIGHLIGHTS

Health actuary role within Iowa HHS Medicaid leading capitation rate development and financial analysis for Medicaid managed care and dental plans. Responsibilities include encounter/claims analysis, forecasting, MLR reporting, and ensuring CMS compliance. Based in Des Moines, IA with a hybrid schedule (two days/week onsite).

JOB DESCRIPTION SUMMARY

  • Develop and monitor actuarially sound capitation rates for MCOs and dental plans
  • Analyze encounter and claims data to support rate setting and forecasting
  • Prepare MLRs, financial reconciliations, and compliance documentation
  • Hybrid role — report to the Des Moines Lucas Building two days per week
  • Ideal for an Associate-level health actuary with Medicaid experience

DOMAIN EXPERTISE

  • Knowledge of Medicaid programs and policies
  • Experience conducting actuarial studies and rate setting
  • Experience analyzing encounter and claims data
  • Proficiency with SAS, R, and SQL

KEY REQUIREMENTS

  • Graduation from an accredited college with coursework in math, statistics, or actuarial science
  • Minimum of 3 years full-time experience conducting actuarial studies (or approved substitutions)
  • Knowledge of Medicaid programs and policies
  • Proficiency with Excel and tools such as SAS, R, and SQL
  • Ability to pass a background check and work Monday–Friday schedule

TECH STACK

  • Excel
  • PowerPoint

Job Overview

Salary
$72k - $111k
Years of Experience
3+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An Associate-level health actuary with Medicaid managed care experience (or equivalent), strong Excel/SAS/R/SQL skills, and the ability to lead capitation rate work and present findings to leadership.

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanHigh 401(k) MatchGenerous VacationPaid Sick LeaveTuition ReimbursementTraining BudgetWellness Program
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$72k - $111k
Years of Experience
3+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An Associate-level health actuary with Medicaid managed care experience (or equivalent), strong Excel/SAS/R/SQL skills, and the ability to lead capitation rate work and present findings to leadership.

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanHigh 401(k) MatchGenerous VacationPaid Sick LeaveTuition ReimbursementTraining BudgetWellness Program
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

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Health/Government Regulator/IC Level
S

Medicaid Actuary

State of Iowa•Des Moines, United States•1d ago
HybridMedicaidPricing & RatingRegulatory ReportingBusiness Intelligence & Reporting