VP, Chief Medicaid Actuary [Remote]

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a VP, Chief Medicaid Actuary based in the United States.

This executive leadership role sits at the intersection of actuarial science, healthcare strategy, and public policy, with a primary focus on Medicaid and government-sponsored healthcare programs. You will shape and oversee actuarial strategy supporting rate development, bid submissions, and financial forecasting across complex, regulated environments. The role requires close partnership with executive leadership to inform pricing, product design, and long-term business planning. You will lead actuarial teams and coordinate cross-functional efforts across finance, operations, and product to ensure accuracy, compliance, and strategic alignment. A key aspect of this position involves engagement with regulators and external stakeholders, ensuring transparency and actuarial soundness in all filings and communications. This is a high-impact leadership role where analytical rigor directly influences organizational performance and healthcare outcomes at scale.

Accountabilities:

• Lead overall actuarial strategy for Medicaid and other healthcare lines of business, ensuring actuarial soundness in rate development, bid submissions, and financial planning.
• Oversee actuarial aspects of rate filings, benefit design, and bid development, including compliance with state and federal regulatory requirements.
• Direct actuarial forecasting processes, ensuring integrity of data, methodologies, and variance analysis across financial reporting cycles.
• Partner with executive leadership to provide strategic insights supporting pricing, product strategy, clinical initiatives, and operational decision-making.
• Monitor and interpret evolving healthcare regulations and legislation, advising leadership on financial and strategic implications.
• Manage and develop actuarial teams, including hiring, mentoring, and performance management across multiple actuarial functions.
• Ensure alignment between actuarial, finance, and data functions to support accurate reporting, reserves, and management insights.
• Represent the organization in engagements with regulators, auditors, and external stakeholders requiring actuarial expertise.
• Drive continuous improvement of actuarial processes, tools, and governance frameworks to enhance efficiency and accuracy.

Requirements:

• Bachelor’s degree in Actuarial Science, Mathematics, Finance, or related field.
• 10+ years of actuarial experience, including at least 5 years in leadership or management roles.
• 7+ years of healthcare actuarial experience, with strong expertise in Medicaid and/or managed care programs.
• Active membership as MAAA and ASA or FSA designation required.
• Strong knowledge of rate setting, bid development, reserving, forecasting, and regulatory actuarial reporting.
• Experience working with state and federal healthcare regulators (e.g., CMS) strongly preferred.
• Proven ability to translate complex actuarial and financial concepts into clear, strategic business recommendations.
• Strong leadership, team-building, and talent development capabilities.
• Advanced analytical and technical skills, including proficiency in Excel and data-driven modeling tools.
• Excellent communication skills with the ability to influence executive and non-technical stakeholders.

Benefits:

• Competitive compensation range of $150,000–$300,000 plus performance-based bonus eligibility
• Comprehensive medical, dental, and vision insurance coverage
• Retirement savings plan with employer contributions
• Strong total rewards package focused on employee well-being
• Flexible work arrangements in a remote environment
• Paid time off and holiday benefits
• Professional development and continuous learning opportunities
• Inclusive, mission-driven culture focused on impact in healthcare
• Leadership role with high visibility and strategic influence.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.