Chief Actuary & Medicaid Strategy Leader (Hybrid)

Health & Human Services; North Carolina; Hybrid; USD 150,000 - 185,000; Full time

Benefits offered by this job

Health insurance

Retirement plans

Paid parental leave

Vacation and sick leave

Community service leave

NCFlex benefits

Job summary

The North Carolina Department of Health and Human Services (DHHS) seeks an experienced Senior Planner (NS) within the Division of Health Benefits to lead actuarial operations and strategic planning for Medicaid programs. The role combines leadership of financial analyses, rate development, and policy evaluation to support managed care initiatives and waiver programs.

This senior position involves coordinating with federal partners, state leaders, and stakeholders to drive data-driven decisions,

Qualifications

• Experience in actuarial leadership and analytics for large healthcare programs.
• Strong ability to communicate complex actuarial concepts to executives.
• Advanced skills in risk assessment, budgeting, and financial forecasting.

Responsibilities

• Direct actuarial operations for Medicaid managed care, including rate development and forecasting.
• Lead development of actuarial methodologies, models, and analytic frameworks.
• Oversee analyses of healthcare costs, utilization, and reimbursement trends; advise on policy and design decisions.
• Direct work related to Medicaid Transformation, waiver implementation, and budget neutrality.

Job description

The North Carolina Department of Health and Human Services (DHHS) seeks an experienced Senior Planner (NS) within the Division of Health Benefits to lead actuarial operations and strategic planning for Medicaid programs. The role combines leadership of financial analyses, rate development, and policy evaluation to support managed care initiatives and waiver programs.

This senior position involves coordinating with federal partners, state leaders, and stakeholders to drive data-driven decisions,