Medicaid Actuarial Manager
$71.25 - $140.53 per hourDeloitte
Position Summary Our Deloitte Human Capital team helps organizations create value through people performance. We work with clients to reimagine work, the workforce, and the workplace across the enterprise and to transform their HR functions with AI and emerging technology. With the rapid pace of change in today’s world, you will help clients answer questions like: How do I access, develop, and motivate my workforce? What should my AI strategy be for the HR function? Do I have the right organization and culture to enable performance? Join our team to make work better for humans and humans better at work. The teamDeloitte’s Government and Public Services (GPS) practice – our people, ideas, technology and outcomes—is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.Our Insights, Innovation, & Operate offering provides key aspects of our clients’ businesses with technology, data, and deep technical and human capabilities. Innovates and delivers creative, industry-centric solutions that streamline work and accelerate speed-to-value. Work you'll doAs an Actuarial Manager, you will:Provide strategic and technical consulting services to public sector clientsLead 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 adjustmentLead and manage end-to-end business development efforts for Federal and State governments, employer groups, and other public entities, including proposal development and captureParticipate 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 frameworksAddress complex, ill-defined problems with strong technical and innovative approachesApply business-oriented strategies to enhance client outcomes and solutionsCollaborate with cross-functional teams to deliver comprehensive actuarial servicesEngage in continuous learning and adaptation to emerging health care trends and technologiesA successful candidate would possess these skills:Ability to work independently and collaborate as part of a teamEffective written and verbal communication skillsMeticulous attention to detail and quality of work productAbility to build and sustain professional relationshipsAbility to lead projects or workstreamsAbility to manage and prioritize multiple tasks in a fast-paced and dynamic environmentStrong interpersonal skills and professional demeanorAbility to meet deadlinesAbility to mentor and provide clear guidance to othersQualificationsRequired:Bachelor’s Degree required10+ years of health actuary experience and consulting and/or health plan/insurance company experience5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development1+ 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 FSAAbility to travel 10-50% on average, based on the work you do and the clients and industries/sectors you serveMust be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the futurePreferred:Prior business development experience, preferably for state/local government clientsExperience providing Medicaid consulting services to Government agenciesExperience with Medicaid waivers (i.e., 1115, 1915 b/c, 1332)Experience with risk adjustment mechanismsExperience 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 typesFamiliarity with group insurance products including disability, long term care, etc.Experience with product design and/or product strategyExperience with reimbursement models – including value-based care/ACO modelingExperience understanding trends in the marketplaceThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $148,200 to $292,300.You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.#GPSHC2026 Deloitte is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to participate in the recruiting process, please direct your inquiries to the Global Call Center (GCC) at View email address on job-api.jobget.com. Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ways of thinking, ideas, and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte’s purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career. As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. Requisition code: 357949 Job ID 357949 Strategy, Growth, and Transformation | Actuarial ServicesSame job available in 9 locations
$148.2k - $292.3k
...streamline work and accelerate speed-to-value. Work you'll doAs an Actuarial Manager, you will:Provide strategic and technical consulting services to public sector clientsLead engagements focused on Medicaid reimbursement, including actuarial rate development across...SuggestedLocal area$103.5k - $214.82k
...future.Milliman's CMH Health Practice is seeking a credentialed Actuarial Manager with strong Medicare experience who will serve in a client-... ...health insurance work areas (Medicare, Commercial / ACA, Medicaid, Long Term Care, Pharmacy, Provider, and more)Support financial...SuggestedFull timeTemporary workWork experience placementWork at officeRemote workFlexible hours$137.7k - $229.5k
...accelerate speed-to-value. Work you'll doAs an Actuarial Senior Consultant, you will:Provide strategic... ...sector clientsSupport engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy,...SuggestedLocal area$103.5k - $214.82k
...Milliman’s CMH Health Practice is seeking a consultant with strong Medicaid managed care experience to lead large, cross-functional projects... ...in a quantitative fieldFSA designation with the Society of Actuaries (SOA)7+ years of health actuarial experience or similar at a...SuggestedFull timeTemporary workWork experience placementWork at officeRemote workFlexible hours$175k - $205k
Actuarial Manager, PricingDRIVE PROFITABLE GROWTH FOR THE BUSINESSAbout At-BayAt-Bay is the world’s first InsurSec provider designed from the ground up to help businesses tackle cyber risk head on. By combining industry-leading insurance with world-class cybersecurity technology...Suggested$90k - $130k
As a Healthcare Financial/Actuarial Manager you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will substantially contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement...Temporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours$100k - $130k
...Global Actuarial Manager ~202604975 ~New York, United States ~Atlanta, Georgia, United States ~Chicago, Illinois, United States ~Houston, Texas, United States ~Full time View favourites Description Our Integrated and Global Solutions line of business...Full timeTemporary workLocal areaOverseasFlexible hours$43.27 - $62.5 per hour
As a Healthcare Financial/Actuarial Manager you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will substantially contribute to a wide variety of complex analyses and projects involving the design, financing, and measurement...Full timeTemporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours$150k - $180k
STG Actuarial Associate DirectorLocation: Chicago, New York, New York, Minneapolis MN Aon is in the business of better decisions... ...Chance ordinances. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this...Full timeTemporary workPart timeLocal area$140k - $230k
As a Health and Benefits Financial/Actuarial Senior Director, you will serve as the financial lead for large, complex client assignments... ...innovative financial solutions. You will apply your financial management and data analytics expertise to solve complex client problems...Temporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours- ...Description AsaHealthandBenefitsFinancial/Actuarial SeniorDirector,youwillserveasthefinancialleadforlarge,complex client assignments... ...innovative financial solutions. You will apply your financial management and data analytics expertise to solve complex client problems...Temporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours
$140k - $230k
...Job Description As a Health and Benefits Financial/Actuarial Senior Director, you will serve as the financial lead for large, complex... ...innovative financial solutions. You will apply your financial management and data analytics expertise to solve complex client problems...Temporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours$103.85 - $129.81 per hour
Position SummaryThe Actuarial Director - Pricing is responsible for leading the pricing strategy, methodologies, and actuarial processes... ...closely with underwriting, product development, program management, and executive leadership to evaluate opportunities, price large...Full timeWork experience placementRemote work$90k - $130k
...Healthcare Financial/Actuarial Manager ~202604440 ~Chicago, Illinois, United States ~Full time View favourites Description As a Healthcare Financial/Actuarial Manager you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise...Full timeTemporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours$100.4k - $197.9k
...and humans better at work. Work you'll do As an Actuarial Consultant on the Government & Public Services... ...sector clientsSupport engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy,...Local area- ...own future.KPMG is currently seeking an Actuarial Health Senior Associate to join our Audit... ...technical support to the actuarial management group in support of group and health insurance... ...with financial reporting or modeling Medicaid, Medicare, ACA, group health, long term...Work experience placementH1bLocal area
$148.2k - $292.3k
...navigate complex challenges across the healthcare ecosystem. As an Actuarial Manager, you will apply actuarial, strategic, and analytical... ...reform involving individual medical, small group, or state Medicaid markets The wage range for this role takes into account the...Local areaVisa sponsorship$180.2k - $355.1k
Position Summary Our Human Capital practice is adding an Actuarial Senior Manager to our Insights, Innovation & Operate Offering. Recruiting... ...reform involving individual medical, small group, or state Medicaid markets The wage range for this role takes into account...Local areaVisa sponsorship$112.2k - $202.6k
...Summary This position is responsible for managing the implementation, maintenance and... ...of models, studies and systems which use actuarial principles for the purposes of pricing,... ...Medicare part D experience is welcome Medicaid experience is welcome Please note that...Work at officeVisa sponsorship3 days per week$75k - $160k
...ComplianceProvides oversight, monitoring and reporting on operational risks for a designated portfolio. Develops and monitors the operational management framework that includes the governance framework & practices leveraged across BMO to manage operational risks. Provides policies...Full timeContract workPart timeLocal area$100k - $230k
New York / San Francisco / Chicago,ILEngineering - Exchange /Full-time /RemoteWe are looking for a quantitative Risk Manager to join our global exchange team, with a primary focus on the models: you will own the design, calibration, and validation of the margin, pricing...Full timeWork experience placement$119.4k - $204.6k
...fire, performance, discipline and problem-resolution decisions.Education & Years of ExperienceMinimum - 4 Year Bachelors Degree in Management, Business, Statistics or RelatedMinimum - 6 Years of Credit Risk, Consumer Lending Products or RelatedPreferred - 1 Years of...Full timeTemporary workPart time$77k - $214k
Industry/SectorNot ApplicableSpecialismIFS - Risk & Quality (R&Q)Management LevelSenior AssociateJob Description & SummaryAt PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients, providing advice, and solutions...Full timeH1b- ...clients across Commercial & Investment Banking contributing to our mission of maintaining the highest standards of compliance and risk management.As a Manager within our Industry Risk team, you will support Bankers and KYC Officers by providing subject matter expertise...Flexible hours
$99k - $176k
Job DescriptionWhat is the opportunity?RBC US Wealth Managing is building out our credit, lending and cash management products and capabilities. As a Risk Advice Senior Manager, Business Risk Oversight, you will provide risk advice and guidance to product managers and...Full timeFlexible hours$160k - $170k
...challenge into opportunity and complexity into success. Our capabilities include programme, project, cost, asset and commercial management, controls and performance, procurement and supply chain, net zero and digital solutions. We are majority-owned by CBRE Group, Inc...Contract workFor contractorsImmediate startFlexible hours- ...Companies, a diversified real estate, investment, and financial services organization, is seeking an experienced Director of Risk Management to lead and advance our enterprise-wide risk management strategy. This is a highly visible, senior-level role with broad exposure...
$130.5k - $193.6k
...well as instant access to funds and payouts. We also help merchants connect with their customers, process exchanges and returns, and manage risk. We enable consumers to engage in cross-border shopping and merchants to extend their global reach while reducing the...Full timeWork at officeLocal areaImmediate startFlexible hours$215k - $250k
...Risk Framework function within the Risk Governance & Strategic Risk team (RG&SR). The function is responsible for enabling the Risk Management Framework (RMF) to operate as a single, integrated, and forward-looking effectiveness across the enterprise and U.S. Material...Full timeContract workPart timeLocal area- ...solutions that help organizations transform faster and become more resilient. Underpinned by technology, data, analytics, AI, change management, talent and sustainability capabilities, our Strategy & Consulting services help architect and accelerate all aspects of an...Full timeLive inWork at officeLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Actuarial Manager. Be the first to apply!



