Deloitte · 11 hours ago
Actuarial Senior Consultant with Medicaid Experience
Hermitage, TN
Full-time
Hybrid
Mid, Senior Level
$102K/yr - $188K/yr
5+ years expDeloitte is a leading consulting firm that helps organizations create value through people performance. The Actuarial Senior Consultant will provide strategic and technical consulting services to public sector clients, focusing on Medicaid reimbursement and innovative actuarial solutions to transform the health care sector.
AccountingConsultingFinancial ServicesLegalProfessional ServicesRisk Management
No H1B
Responsibilities
Provide strategic and technical consulting services to public sector clients
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
Support business development efforts for Federal and State governments, employer groups, and other public entities
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
Address complex, ill-defined problems with strong technical and innovative approaches
Apply business-oriented strategies to enhance client outcomes and solutions
Collaborate with cross-functional teams to deliver comprehensive actuarial services
Engage in continuous learning and adaptation to emerging health care trends and technologies
Qualification
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
Benefits
Discretionary annual incentive program
Company
Deloitte
Deloitte is a business consulting company that offers audit, consulting, financial advisory, and tax services.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Anne Muraya
Chief Executive Officer - East Africa
Joe Ucuzoglu
Global Chief Executive Officer
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