Government Healthcare Actuarial Consultant
2 weeks ago
Description:
At Mercer, our purpose is to make a positive difference in people’s lives by helping advance their health, wealth, and careers.
Mercer is seeking candidates for the Government Healthcare Actuary position. Our primary offices are located in Phoenix, Atlanta, DC, and Minneapolis.
Government Healthcare Actuarial Consultant
We will count on you to:
Serve as actuary and project leader, working directly with actuarial and data analysts, clinicians and health policy consultants, on large, complex capitation rate setting and other actuarial projects. In conjunction with the 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. Collaborate with client and project teams to finalize rates and educate clients on the impact of their policies on the data and rates. Work with Mercer actuaries, clinicians, and health policy consultants to support the design and implementation of innovative and comprehensive solutions to emerging and/or unique challenges faced by clients. 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 junior actuaries and actuarial students on project teams. Provide guidance, oversight and mentoring to junior actuarial staff as needed.What is in it for you?
Be on the cutting edge of health care reform. Mercer GHSC partners with states and the Federal government on implementing a wide variety of healthcare and human services issues, including actuarial, data/systems analysis, clinical, policy, pharmacy, operations, and procurement. On day one you'll be eligible for medical, dental, and vision care benefits in addition to a generous PTO package, as well as time off for community service.What you need to have:
BA/BS degree Actuarial credentials (ASA or FSA, MAAA) strongly preferred. 5+ years minimum health actuarial experience, with 3+ Medicaid actuarial experienceWhat makes you stand out:
Medicaid actuarial experience spanning multiple states, programs, health insurers or Federal agency and/or actuarial consulting experience Experience leading large teams and/or large, complex projects 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 Experience related to health plan analysis or capitated rate development is preferred, but not required
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