Senior Health Actuary - Medicaid

Smith Hanley Associates; United States; On-site; USD 230,000 - 275,000; Full time

Job summary

A consulting firm seeks a Senior Health Actuary specializing in Medicaid. This remote role involves overseeing Medicaid projects, including capitation rates and regulatory compliance. The ideal candidate possesses an FSA/ASA designation, along with strong leadership and analytical skills. You will collaborate with teams and present findings to stakeholders while mentoring junior staff. This position offers competitive compensation of $230,000-$275,000 total compensation.

Qualifications

• Strong leadership and communication skills required.
• Ability to conduct risk assessments and ensure compliance with regulations.
• Experience with financial analysis and actuarial modeling.

Responsibilities

• Design and develop capitation rates and payment arrangements.
• Interpret Medicaid regulations for project deliverables.
• Mentor junior staff and support professional development.

Skills

Leadership

Analytical skills

Communication

Education

Fellow of the Society of Actuaries (FSA)

Associate of the Society of Actuaries (ASA)

Job description

Overview

Position: Senior Health Actuary - Medicaid
Location: Remote
Salary: $230,000-275,000 Total Compensation

Actuarial Summary

We are seeking a Senior Medicaid Consulting Actuary to lead and support complex Medicaid projects, including rate development, financial analysis, and actuarial modeling. This role involves providing strategic guidance to state agencies, conducting risk assessments, and ensuring compliance with federal regulations. The ideal candidate will possess strong leadership, analytical, and communication skills to manage teams, engage with clients, and deliver high-quality actuarial solutions in a dynamic, client-focused environment.

Key Responsibilities

• Design and develop capitation rates, risk adjustment models, and value-based payment arrangements.
• Interpret and apply federal and state Medicaid regulations to project deliverables.
• Collaborate with cross-functional teams to ensure seamless project execution and client satisfaction.
• Present findings and recommendations to stakeholders, including government officials and agency leadership.
• Mentor junior staff and support professional development within the actuarial team.
• Contribute to business development by identifying new opportunities and supporting proposal efforts.

Qualifications

• FSA or career ASA preferred (Society of Actuaries)