Centers for Medicare & Medicaid Services · 21 hours ago
Actuary
Centers for Medicare & Medicaid Services is committed to expanding coverage and improving health outcomes. The Actuary role involves developing financial programs for national health care programs and providing actuarial guidance on Medicaid and other health care initiatives.
AssociationHealth CareInsuranceMedicalWellness
Responsibilities
Develop actuarial estimation methodologies and models for historical and projected Medicaid, CHIP, Medicare-Medicaid dual eligibles, and BHP operation and for proposed program changes
Analyze, evaluate, interpret, and communicate technical and actuarial data and information for publication in the Agency’s annual Actuarial Report on the Financial Outlook for Medicaid
Provide actuarial and technical guidance in review of Medicaid or other health care program waivers, alternate payment models, and managed care programs within OACT and other CMS components
Develop standards and processes for reviewing Medicaid managed actuarial certifications for capitation rates
Qualification
Required
Providing actuarial guidance in review of cost estimates, payment models, or managed care programs
Developing project plans or coordinating project tasks and deliverables
Analyzing, interpreting, or communicating actuarial data and information
A bachelor's degree that included courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science totaling at least 24 semester hours. This coursework must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites. (TRANSCRIPTS REQUIRED AT TIME OF APPLICATION)
One year of professional actuarial experience equivalent to at least the GS-12 level
Associateship in the Society of Actuaries or the Casualty Actuarial Society or being an Enrolled Actuary. (CERTIFICATIONS/LICENSURE/PROOF OF ENROLLMENT OR MEMBERSHIP REQUIRED AT TIME OF APPLICATION)
Company
Centers for Medicare & Medicaid Services
Centers for Medicare & Medicaid Services provides technical guidance to develop and evaluate healthcare financing programs and policies.
Funding
Current Stage
Late StageLeadership Team
Recent News
2026-01-16
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