Actuarial Manager

Job title: Actuarial Manager

About the Role Join Deloitte's Government and Public Services (GPS) practice as an Actuarial Manager delivering strategic and technical consulting to public sector clients, including Medicaid rate development, policy, budgeting, and risk adjustment. Lead cross-functional teams and business development efforts while applying innovative actuarial solutions and AI-driven approaches to transform health care payments and value-based models.

What You'll Do

• Provide strategic and technical consulting services to public sector clients
• Lead engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment
• Lead and manage end-to-end business development efforts for Federal and State governments, employer groups, and other public entities, including proposal development and capture
• Participate in the transformation of the health care sector through innovative actuarial solutions, such as AI-driven solutions, development of frameworks inclusive of social drivers of health, and transition of payment models to value-based payment frameworks
• Address complex, ill-defined problems with strong technical and innovative approaches
• Apply business-oriented strategies to enhance client outcomes and solutions
• Collaborate with cross-functional teams to deliver comprehensive actuarial services
• Engage in continuous learning and adaptation to emerging health care trends and technologies

What We're Looking For

• Ability to work independently and collaborate as part of a team
• Effective written and verbal communication skills
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships
• Ability to lead projects or workstreams
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines
• Ability to mentor and provide clear guidance to others
• Bachelor's Degree required
• 10+ years of health actuary experience and consulting and/or health plan/insurance company experience
• 5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development
• 1+ years of experience managing and leading teams OR 1+ years of experience managing and leading teams and leading business development efforts, including selling services to prospective and existing clients
• ASA with progression to FSA or FSA
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
• Travel 10-50% on average

Nice to Have

• Prior business development experience, preferably for state/local government clients
• Experience providing Medicaid consulting services to Government agencies
• Experience with Medicaid waivers (i.e., 1115, 1915 b/c, 1332)
• Experience with risk adjustment mechanisms
• Experience with Provider reimbursement streams (i.e., DSH, UPL, etc.)
• Experience with health care reform and working knowledge of the individual medical and small group markets
• Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types
• Familiarity with group insurance products including disability, long term care, etc.
• Experience with product design and/or product strategy
• Experience with reimbursement models – including value-based care/ACO modeling
• Experience understanding trends in the marketplace

Compensation & Benefits

• Salary range: $148,200 - $292,300 USD per year
• You may also be eligible to participate in a discretionary annual incentive program, subject to rules governing the program, whereby an award depends on various factors, including individual and organizational performance
• Deloitte is committed to providing reasonable accommodations for people with disabilities; inquiries to the Global Call Center for accommodations can be made.