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Role Summary

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HIGHLIGHTS

Senior health consulting actuary role supporting state Medicaid programs and other public health clients. You will lead engagement teams to develop and certify Medicaid managed care capitation rates, perform encounter data analytics, risk adjustment, waiver cost-effectiveness analyses, and present findings to regulators. Remote or office-based in one of BerryDunn’s US offices with minimal travel.

JOB DESCRIPTION SUMMARY

  • Lead actuarial engagements for state Medicaid agencies and public health clients
  • Develop and certify Medicaid managed care capitation rates and risk-adjustment methods
  • Perform encounter data analytics and reconcile claims to financials
  • Client-facing senior role with mentoring and some management responsibilities
  • Flexible work arrangement: remote or in-office at one of nine US offices

DOMAIN EXPERTISE

  • Support for state Medicaid agencies
  • Developing and certifying Medicaid managed care capitation rates with CMS
  • Designing and applying risk adjustment methodologies
  • Experience with Medicaid and commercial claims/encounter data (APCDs, MMIS)
  • Waiver cost-effectiveness and 1915/1115 waiver analyses

KEY REQUIREMENTS

  • 15+ years of health actuarial experience
  • FSA or ASA with active AAA membership (required)
  • 5+ years supporting or employed by a state Medicaid agency
  • Proven experience certifying capitation rates with CMS
  • Ability to lead a team of actuaries and present to regulators

TECH STACK

  • Excel
  • PowerPoint
  • Word
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Role Summary

Loading...

HIGHLIGHTS

Senior health consulting actuary role supporting state Medicaid programs and other public health clients. You will lead engagement teams to develop and certify Medicaid managed care capitation rates, perform encounter data analytics, risk adjustment, waiver cost-effectiveness analyses, and present findings to regulators. Remote or office-based in one of BerryDunn’s US offices with minimal travel.

JOB DESCRIPTION SUMMARY

  • Lead actuarial engagements for state Medicaid agencies and public health clients
  • Develop and certify Medicaid managed care capitation rates and risk-adjustment methods
  • Perform encounter data analytics and reconcile claims to financials
  • Client-facing senior role with mentoring and some management responsibilities
  • Flexible work arrangement: remote or in-office at one of nine US offices

DOMAIN EXPERTISE

  • Support for state Medicaid agencies
  • Developing and certifying Medicaid managed care capitation rates with CMS
  • Designing and applying risk adjustment methodologies
  • Experience with Medicaid and commercial claims/encounter data (APCDs, MMIS)
  • Waiver cost-effectiveness and 1915/1115 waiver analyses

KEY REQUIREMENTS

  • 15+ years of health actuarial experience
  • FSA or ASA with active AAA membership (required)
  • 5+ years supporting or employed by a state Medicaid agency
  • Proven experience certifying capitation rates with CMS
  • Ability to lead a team of actuaries and present to regulators

TECH STACK

  • Excel
  • PowerPoint
  • Word

Job Overview

Salary
$200k - $275k
Years of Experience
15+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A senior health actuary (ASA/FSA) with 15+ years of Medicaid experience who has led capitation rate certifications with CMS and enjoys client-facing leadership and mentoring.

ASAFSA

Benefits

Hybrid WorkMentorship 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
$200k - $275k
Years of Experience
15+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

A senior health actuary (ASA/FSA) with 15+ years of Medicaid experience who has led capitation rate certifications with CMS and enjoys client-facing leadership and mentoring.

ASAFSA

Benefits

Hybrid WorkMentorship 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."

Health/Consultancy/Manager Level
B

Senior Consulting Actuary

BerryDunn•United States•1d ago
FlexibleMedicaidCommercial Employer HealthPricing & RatingProduct Development & Plan DesignPredictive Modelling & ML

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