Government Healthcare Actuarial Consultant

Pinnacle Enterprise Risk Consulting Services, LLC; California; Hybrid; USD 73,000 - 147,000; Full time

Job summary

A leading consulting firm specializing in Medicaid is seeking a Government Healthcare Actuarial Consultant to join their team. This role involves working closely with clients to manage complex actuarial projects and requires a strong background in health actuarial practices, particularly in Medicaid. If you have excellent critical thinking skills and a commitment to improving healthcare outcomes, this position will give you the opportunity to make a meaningful impact.

Benefits

Health and welfare benefits

Tuition assistance

401K savings

Employee assistance programs

Qualifications

• Minimum 3 years experience in health actuarial roles.
• Medicaid actuarial experience strongly preferred.
• Ability to prioritize multiple tasks.

Responsibilities

• Serve as actuary on capitation rate setting and actuarial projects.
• Develop rate-setting assumptions and guide data analysis.
• Collaborate with clients on finalizing rates.

Skills

Interpersonal skills

Oral communication

Written communication

Critical thinking

Analytical problem-solving

Education

BA/BS degree

Actuarial credentials (ASA or FSA, MAAA)

Job description

We are seeking a talented individual to join our Government Human Service Consultant (GHSC) - Informatics team at Mercer. This role can be based in Phoenix, Atlanta, Washington DC or Minneapolis, and it is a hybrid role with a requirement of working at least three days a week in the office.

Medicaid is a government-sponsored health insurance program in the United States designed to provide healthcare coverage to low-income individuals and families. As a consulting firm specializing in Medicaid, Mercer's GHSC team assists state governments in optimizing their Medicaid programs. Our team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to these individuals.

As a Government Healthcare Actuarial Consultant, you will have the opportunity to collaborate with experienced programmers, actuaries, and clinicians, contributing to meaningful projects that aim to positively impact the lives of individuals and families in need. Join us in making a difference!

We will count on you to:

• Serve as actuary on large and complex capitation rate setting and other actuarial projects.
• In conjunction with the project leader, work with the client to define the scope of the project and serve as an expert on rate structure and methodology and ensure consistency with federal regulations and actuarial standards
• Develop the rate setting assumptions that are built into the data model and informs client and project team on impact of data assumptions and provide on-going review and guidance during the data analysis process
• Collaborate with client team and project team to finalize rates and educate client on the impact of their policies on the data and rates
• Draft project communications, including rate capitation letters and act as actuarial authority that signs and certifies rate capitation letters

What you need to have:

• BA/BS degree
• Actuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials
• 3+ years minimum health actuarial experience, with Medicaid actuarial experience strongly preferred
• Excellent interpersonal skills; strong oral and written communication skills
• Ability to prioritize and handle multiple tasks in a demanding work environment
• Strong critical thinking and analytical problem-solving skills

What makes you stand out?

• Medicaid actuarial experience (any state program) or actuarial consulting experience
• Experience related to health plan analysis or capitated rate development

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting [e-mail].

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.

The applicable base salary range for this role is $73,500 to $147,000.

The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.