Actuarial Manager
Job Summary:
The Actuarial Manager for Medicaid leads actuarial functions that support financial performance, rate setting, forecasting, and regulatory compliance for Medicaid health plans. This role involves managing cross-functional teams, developing actuarial models, and providing strategic insights to senior leadership.
Key Responsibilities:
Modeling & Forecasting:
- Develop and maintain actuarial models for Medicaid forecasting .
- Lead annual cost model submissions and Medical Loss Ratio (MLR) reporting .
- Conduct actual-to-expected analyses and financial forecasting .
Rate Setting & Advocacy:
- Support capitation rate development and regulatory submissions .
- Draft rate advocacy communications and collaborate with state agencies on policy impacts .
Strategic Analysis:
- Analyze medical trends to identify cost-saving opportunities .
- Provide ad hoc analyses related to risk, compliance, and operations .
Team Leadership & Collaboration:
- Manage actuarial teams and coordinate with Finance, Data & Analytics, and Accounting .
- Develop and enforce team best practices including peer review and documentation .
Stakeholder Engagement:
- Present insights to senior leadership and influence strategic decisions .
- Translate complex actuarial concepts for non-actuarial audiences .
Qualifications:
Education:
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field.
Experience:
- 5-8+ years of actuarial experience, preferably in Medicaid or managed care .
- Leadership experience in managing actuarial teams and projects .
Certifications:
- ASA (Associate of the Society of Actuaries) required; FSA preferred .
- Member of the American Academy of Actuaries (MAAA) preferred .
Skills:
- Proficiency in actuarial modeling, SQL, Excel, and data visualization tools (e.g., Power BI) .
- Strong communication, project management, and problem-solving abilities.
FAQs
Congratulations, we understand that taking the time to apply is a big step. When you apply, your details go directly to the consultant who is sourcing talent. Due to demand, we may not get back to all applicants that have applied. However, we always keep your resume and details on file so when we see similar roles or see skillsets that drive growth in organizations, we will always reach out to discuss opportunities.
Yes. Even if this role isn’t a perfect match, applying allows us to understand your expertise and ambitions, ensuring you're on our radar for the right opportunity when it arises.
We also work in several ways, firstly we advertise our roles available on our site, however, often due to confidentiality we may not post all. We also work with clients who are more focused on skills and understanding what is required to future-proof their business.Â
That's why we recommend registering your resume so you can be considered for roles that have yet to be created.Â
Yes, we help with resume and interview preparation. From customized support on how to optimize your resume to interview preparation and compensation negotiations, we advocate for you throughout your next career move.