Government Healthcare Actuarial Lead

Mercer; Washington (District of Columbia); Hybrid; USD 151,000 - 301,000; Full time

Job summary

Mercer is seeking a senior health actuarial leader to join our Government Human Services Consulting team in a hybrid Washington, DC area role. You will direct multi-disciplinary teams, shape rate-setting strategies, ensure regulatory alignment, and mentor staff while partnering with clients to create innovative solutions.

With 10+ years of health actuarial experience and Medicaid expertise, you will oversee rate development, communications, and client management, contributing to Mercer’s impact

Qualifications

• 10+ years health actuarial experience
• 5+ years Medicaid actuarial experience
• Actuarial credentials (ASA, FSA, MAAA)
• Experience leading large multi-disciplinary teams and large, complex projects

Responsibilities

• Lead a team of actuaries, analysts, clinicians and consultants on rate-setting and other actuarial projects
• Define project scope with clients and ensure compliance with regulations and standards
• Develop rate-setting assumptions and review actuarial models and data impacts
• Draft rate certification letters and present actuarial opinions
• Mentor actuarial staff and identify growth opportunities for team members

Skills

Actuarial leadership

Team leadership

Data analysis

Client management

Education

Bachelor's degree

Job description

Job Description For Posting

We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. This is a hybrid role that has a requirement of working at least three days a week in the office.

Mercer’s Government Human Services Consulting (GHSC) practice is dedicated to helping publicly funded health and human services clients transform their healthcare programs, impacting the lives of millions in our most vulnerable communities. We believe that each project is an opportunity to build trust between our team and our clients, and we back each project with industry leading experience and multi-disciplinary specialists.

We will count on you to:

• Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting multiple large, complex capitation rate-setting and other actuarial projects
• In conjunction with other project leaders, work with the client to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards
• Oversee the development of rate-setting assumptions that are built into actuarial models and inform client and project teams on the impact of data and assumptions, and provide on-going review and guidance throughout the rate setting process
• Thrive and be motivated by an environment that embraces AI and technology-enabled tools.
• Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions
• Oversee the drafting of project communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion
• Work with project leaders to identify growth and development opportunities for experienced actuaries, junior actuaries, and actuarial students on project teams. Provide guidance, oversight and mentoring for actuarial staff as needed

What you need to have:

• BA/BS degree
• 10+ years minimum health actuarial experience, with 5+ years of Medicaid actuarial experience
• Actuarial credentials (ASA, FSA, MAAA)
• Experience leading large multi-disciplinary teams and large, complex projects

What makes you stand out?

• Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience
• Ability to handle client and project management in a demanding work environment with tight deadlines
• 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.

The applicable base salary range for this role is $150,500 to $301,000.

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.

• health and welfare benefits
• tuition assistance
• 401K savings
• other retirement programs
• employee assistance programs

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