Medicaid Rate‑Setting & Program Leadership
I'm partnering with a national government health consulting platform that advises state Medicaid agencies on some of the largest and most complex capitation rate‑setting initiatives in the country. They're seeking a senior actuarial leader to provide strategic oversight across multi‑state Medicaid programs and serve as a trusted advisor to public‑sector clients.
This role sits at the intersection of technical authority, client leadership, and people development.
What you'll lead
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Provide senior actuarial oversight for large Medicaid rate‑setting engagements, including capitation development and related financial analyses
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Serve as a strategic partner to clients, advising on rate structures, methodologies, and regulatory considerations
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Direct and mentor multi‑disciplinary teams of actuaries, analysts, clinicians, and policy professionals
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Oversee actuarial assumptions and modeling approaches, ensuring consistency with federal guidance and actuarial standards
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Review and sign formal actuarial deliverables, including rate certification letters and statements of actuarial opinion
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Play an active role in talent development, mentoring experienced actuaries and helping grow future leaders
What they're looking for
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Bachelor's degree
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10+ years of health actuarial experience, with deep Medicaid specialization (5+ years)
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ASA or FSA credentials required
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Demonstrated experience leading large, complex client engagements and teams
Experience that differentiates
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Medicaid work across multiple states, programs, or payer types
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Actuarial consulting background with senior client ownership
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Strong experience with capitated rate development and health plan financial analysis
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Comfortable operating in high‑stakes, deadline‑driven environments
Why this role This is an opportunity to step into a visible leadership position, influence large‑scale Medicaid programs, and help shape both client outcomes and the next generation of actuarial talent.
