Government Healthcare Actuarial Consultant
Mercer France, Phoenix, AZ, United States
Government Healthcare Actuarial Consultant
We are seeking a talented individual to join our Government Healthcare Services Consulting (GHSC) team at Mercer, a Marsh business. This role can be based in Atlanta, Minneapolis, Phoenix, or Washington, DC and offers a hybrid work arrangement, requiring a minimum of three days per week in the office. Medicaid is a government-sponsored health insurance program in the United States designed to provide healthcare coverage to low-income individuals and families. As a consulting firm specializing in Medicaid, Mercer's GHSC team assists state governments in optimizing their Medicaid programs. Our team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to these individuals. As a Government Healthcare Actuarial Consultant, you will have the opportunity to collaborate with experienced programmers, actuaries, and clinicians, contributing to meaningful projects that aim to positively impact the lives of individuals and families in need. Join us in making a difference! We will count on you to: Serve as actuary on large and complex capitation rate setting and other actuarial projects. In conjunction with the project leader, work with the client to define the scope of the project and serve as an expert on rate structure and methodology and ensure consistency with federal regulations and actuarial standards Develop the rate setting assumptions that are built into the data model and informs client and project team on impact of data assumptions and provide on-going review and guidance during the data analysis process Collaborate with client team and project team to finalize rates and educate client on the impact of their policies on the data and rates Draft project communications, including rate capitation letters and act as actuarial authority that signs and certifies rate capitation letters What you need to have: BA/BS degree Actuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials 3+ years minimum health actuarial experience, with Medicaid actuarial experience strongly preferred 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 What makes you stand out? Medicaid actuarial experience (any state program) or actuarial consulting experience 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 an impact on 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. Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. 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 which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
We are seeking a talented individual to join our Government Healthcare Services Consulting (GHSC) team at Mercer, a Marsh business. This role can be based in Atlanta, Minneapolis, Phoenix, or Washington, DC and offers a hybrid work arrangement, requiring a minimum of three days per week in the office. Medicaid is a government-sponsored health insurance program in the United States designed to provide healthcare coverage to low-income individuals and families. As a consulting firm specializing in Medicaid, Mercer's GHSC team assists state governments in optimizing their Medicaid programs. Our team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to these individuals. As a Government Healthcare Actuarial Consultant, you will have the opportunity to collaborate with experienced programmers, actuaries, and clinicians, contributing to meaningful projects that aim to positively impact the lives of individuals and families in need. Join us in making a difference! We will count on you to: Serve as actuary on large and complex capitation rate setting and other actuarial projects. In conjunction with the project leader, work with the client to define the scope of the project and serve as an expert on rate structure and methodology and ensure consistency with federal regulations and actuarial standards Develop the rate setting assumptions that are built into the data model and informs client and project team on impact of data assumptions and provide on-going review and guidance during the data analysis process Collaborate with client team and project team to finalize rates and educate client on the impact of their policies on the data and rates Draft project communications, including rate capitation letters and act as actuarial authority that signs and certifies rate capitation letters What you need to have: BA/BS degree Actuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials 3+ years minimum health actuarial experience, with Medicaid actuarial experience strongly preferred 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 What makes you stand out? Medicaid actuarial experience (any state program) or actuarial consulting experience 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 an impact on 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. Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. 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 which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.