Role Summary

HIGHLIGHTS

Senior health actuarial consulting role within BerryDunn's Health Analytics Practice Group, focused on state Medicaid programs and public health clients. You'll lead engagements including capitation rate development, encounter data analytics, risk adjustment, and waiver cost-effectiveness models. This is a remote-friendly position requiring 15+ years of experience and an FSA or ASA with active MAAA membership.

JOB DESCRIPTION SUMMARY

Lead actuarial engagements for state Medicaid agencies and public health clients
Develop and certify CMS-compliant managed care capitation rates
Design encounter data analytics, utilization trends, and risk adjustment models
Support waiver cost-effectiveness analyses and federal authority activities
Mentor junior staff and present findings to clients and regulators

DOMAIN EXPERTISE

State Medicaid program actuarial support
Managed care capitation rate development
Risk adjustment methodologies
Waiver cost-effectiveness analysis
CMS review and approval processes

KEY REQUIREMENTS

15+ years of health actuarial experience
FSA or ASA with active MAAA membership (required)
5+ years supporting/employed by a state Medicaid agency
Proven capitation rate development and risk adjustment expertise
Deep familiarity with CMS reviews, ASOPs, and Medicaid data (APCDs, MMIS)

TECH STACK

Excel
Word
PowerPoint

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead actuarial engagements for state Medicaid agencies and public health clients
Develop and certify CMS-compliant managed care capitation rates
Design encounter data analytics, utilization trends, and risk adjustment models
Support waiver cost-effectiveness analyses and federal authority activities
Mentor junior staff and present findings to clients and regulators

DOMAIN EXPERTISE

State Medicaid program actuarial support
Managed care capitation rate development
Risk adjustment methodologies
Waiver cost-effectiveness analysis
CMS review and approval processes

KEY REQUIREMENTS

15+ years of health actuarial experience
FSA or ASA with active MAAA membership (required)
5+ years supporting/employed by a state Medicaid agency
Proven capitation rate development and risk adjustment expertise
Deep familiarity with CMS reviews, ASOPs, and Medicaid data (APCDs, MMIS)

TECH STACK

Excel
Word
PowerPoint

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead actuarial engagements for state Medicaid agencies and public health clients
Develop and certify CMS-compliant managed care capitation rates
Design encounter data analytics, utilization trends, and risk adjustment models
Support waiver cost-effectiveness analyses and federal authority activities
Mentor junior staff and present findings to clients and regulators