Medicaid Rate Modeling Leader

Selby Jennings; United States; Vor Ort; USD 180.000 - 240.000; Vollzeit

Zusammenfassung

Selby Jennings is partnering with a leading healthcare consulting organization to identify a senior Medicaid rate development expert. The role centers on hands-on data, analytics, financial modeling, and actuarial support used to develop and evaluate managed care rates for Medicaid.

You will analyze claims and cost data, evaluate cost trends, and collaborate with state Medicaid agencies and actuaries on forecasting and financing initiatives, while mentoring junior consultants and communicating

Qualifikationen

• 10+ years of experience in Medicaid managed care rate development, actuarial support, or healthcare economics.
• Direct experience developing, reviewing, or supporting capitation rates.
• Strong quantitative, financial modeling, and Excel skills.
• Experience working with state Medicaid agencies, consulting firms, actuarial organizations, or managed care plans.
• Prior leadership or mentorship experience is highly valued.

Aufgaben

• Analyze claims, encounter, utilization, and cost data to support Medicaid managed care rate development
• Evaluate medical cost trends, revenue adequacy, and financial performance to inform rate-setting methodologies
• Partner with actuaries and state Medicaid agencies on rate development, forecasting, and financing initiatives
• Translate complex analytical findings into actionable recommendations for Medicaid leadership
• Present results and insights to state agencies and other key stakeholders
• Mentor and develop junior consultants, helping them build the technical and client-facing skills needed to advance into more senior roles

Kenntnisse

Quantitative analytics

Financial modeling

Excel proficiency

Jobbeschreibung

Selby Jennings is partnering with a leading healthcare consulting organization to identify a senior Medicaid rate development expert. The role centers on hands-on data, analytics, financial modeling, and actuarial support used to develop and evaluate managed care rates for Medicaid.

You will analyze claims and cost data, evaluate cost trends, and collaborate with state Medicaid agencies and actuaries on forecasting and financing initiatives, while mentoring junior consultants and communicating