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Role Summary

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HIGHLIGHTS

Manager-level health actuarial role in Michigan focusing on Medicaid managed care rates, encounter data quality, and analytics. You will lead the Rates and Encounter Data Section, oversee actuarial rate-setting and financial analysis, work with contracted actuaries, and support development of the DHHS data warehouse. Based in Lansing, MI with a hybrid schedule (minimum two days/week in office).

JOB DESCRIPTION SUMMARY

  • Manage the Rates and Encounter Data Section for Medicaid managed care
  • Oversee actuarial rate setting and related financial analysis
  • Ensure encounter data processing and quality; support DHHS data warehouse
  • Hybrid role — minimum 2 days per week in Lansing, MI
  • Requires bachelor's degree and 4+ years of professional experience

DOMAIN EXPERTISE

  • Medicaid managed care encounter data processing
  • health plan rate setting for Medicaid
  • actuarial analysis related to Medicaid rates
  • working with DHHS data warehouse or similar health data systems
  • experience with electronic data standards and relational databases

KEY REQUIREMENTS

  • Possession of a bachelor's degree (required)
  • Minimum four years of professional experience including P11/12 equivalency
  • Advanced knowledge of encounter data in Medicaid managed care programs
  • Experience with health plan rate setting and actuarial analysis
  • Must complete background investigation and criminal records check

TECH STACK

  • Excel
  • Access
  • Other_BI_Tool
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Role Summary

Loading...

HIGHLIGHTS

Manager-level health actuarial role in Michigan focusing on Medicaid managed care rates, encounter data quality, and analytics. You will lead the Rates and Encounter Data Section, oversee actuarial rate-setting and financial analysis, work with contracted actuaries, and support development of the DHHS data warehouse. Based in Lansing, MI with a hybrid schedule (minimum two days/week in office).

JOB DESCRIPTION SUMMARY

  • Manage the Rates and Encounter Data Section for Medicaid managed care
  • Oversee actuarial rate setting and related financial analysis
  • Ensure encounter data processing and quality; support DHHS data warehouse
  • Hybrid role — minimum 2 days per week in Lansing, MI
  • Requires bachelor's degree and 4+ years of professional experience

DOMAIN EXPERTISE

  • Medicaid managed care encounter data processing
  • health plan rate setting for Medicaid
  • actuarial analysis related to Medicaid rates
  • working with DHHS data warehouse or similar health data systems
  • experience with electronic data standards and relational databases

KEY REQUIREMENTS

  • Possession of a bachelor's degree (required)
  • Minimum four years of professional experience including P11/12 equivalency
  • Advanced knowledge of encounter data in Medicaid managed care programs
  • Experience with health plan rate setting and actuarial analysis
  • Must complete background investigation and criminal records check

TECH STACK

  • Excel
  • Access
  • Other_BI_Tool

Job Overview

Salary
$96k - $139k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced manager-level health actuary (Manager/SAM-15) with 4+ years' professional experience in Medicaid managed care rate setting and encounter data, strong analytics skills, and familiarity with SQL and health data systems.

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term Disability401(k) PlanHigh 401(k) MatchGenerous VacationPaid Parental LeaveTuition Reimbursement
Shortlist Forming
Closing Soon
67d
67 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$96k - $139k
Years of Experience
4+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Experienced manager-level health actuary (Manager/SAM-15) with 4+ years' professional experience in Medicaid managed care rate setting and encounter data, strong analytics skills, and familiarity with SQL and health data systems.

Benefits

Health InsuranceDental InsuranceVision InsuranceLife InsuranceShort/Long Term Disability401(k) PlanHigh 401(k) MatchGenerous VacationPaid Parental LeaveTuition Reimbursement
Shortlist Forming
Closing Soon
67d
67 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Health/Government Regulator/Manager Level
State of Michigan

State Administrative Manager 15 - HSA Managed Care Rates & Analytics Section

State of Michigan•Lansing, United States•2mo ago
HybridMedicaidPricing & RatingData EngineeringBusiness Intelligence & Reporting

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