Actuarial Senior Consultant with Medicaid Experience

Human Capital Consultant

Our Deloitte Human Capital team helps organizations create value through people performance. We work with clients to reimagine work, the workforce, and the workplace across the enterprise and to transform their HR functions with AI and emerging technology. With the rapid pace of change in today's world, you will help clients answer questions like: How do I access, develop, and motivate my workforce? What should my AI strategy be for the HR function? Do I have the right organization and culture to enable performance? Join our team to make work better for humans and humans better at work.

Work You'll Do

1. Provide strategic and technical consulting services to public sector clients
2. Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment
3. Support business development efforts for Federal and State governments, employer groups, and other public entities
4. Participate in the transformation of the health care sector through innovative actuarial solutions, such as AI-driven solutions, development of frameworks inclusive of social drivers of health, and transition of payment models to value-based payment frameworks
5. Address complex, ill-defined problems with strong technical and innovative approaches
6. Apply business-oriented strategies to enhance client outcomes and solutions
7. Collaborate with cross-functional teams to deliver comprehensive actuarial services
8. Engage in continuous learning and adaptation to emerging health care trends and technologies

The Team

Deloitte's Government & Public Services (GPS) practice our people, ideas, technology and outcomes is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

Our Insights, Innovation, & Operate offering provides key aspects of our clients' businesses with technology, data, and deep technical and human capabilities. Innovates and delivers creative, industry-centric solutions that streamline work and accelerate speed-to-value.

Qualifications

Required:

• 5+ years of health actuary experience and consulting and/or health plan/insurance company experience
• 2+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
• Ability to travel up to 20-50%, on average, based on the work you do and the clients and industries/sectors you serve
• Exam progress towards ASA or FSA
• Bachelor's Degree
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future

Preferred:

• ASA with progression to FSA, FSA, or career ASA designation
• Experience providing Medicaid consulting services to Government agencies
• Experience with Medicaid waivers (i.e., 1115, 1915 b/c, 1332)
• Experience with risk adjustment mechanisms
• Experience with Provider reimbursement streams (i.e., DSH, UPL, etc.)
• Experience with health care reform and working knowledge of the individual medical and small group markets
• Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types
• Experience with reimbursement models including value based care/ACO modeling
• Knowledge of group insurance products including disability, long term care, etc.