Government Healthcare Actuarial Manager

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 currently recruiting for a Government Healthcare Actuarial Manager to work in one of the following offices : Phoenix, Atlanta, or Minneapolis.

Government Healthcare Actuarial Manager

What can you expect?

Be a part of the team that leverages our knowledge and expertise to help states manage the challenges and complexities of the healthcare world.

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.

We will count on you to :

Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting multiple large, complex capitation rate setting and other actuarial projects.

In conjunction with 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 projects team to finalize rates and educate clients on the impact of their policies on the data and rates.

Work directly with clients on emerging and / or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions.

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 experienced actuaries, junior actuaries, and actuarial students on project teams.

Provide guidance, oversight and mentoring for actuarial staff as needed.

What you need to have :

BA / BS degree

Actuarial credentials (ASA or FSA, MAAA) strongly preferred

10+ years minimum health actuarial experience, with 5+ Medicaid actuarial experience

What makes you stand out :

Medicaid actuarial experience spanning multiple states, programs, health insurers or Federal agency and / or actuarial consulting experience

Experience leading large, multi-disciplinary 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