Healthcare Actuarial Consultant

We are seeking a talented individual to join our Government Healthcare Services Consulting (GHSC) team at Mercer, a Marsh business. This role can be based in Atlanta, Minneapolis, Phoenix, or Washington, DC and offers a hybrid work arrangement, requiring a minimum of three days per week in the office.Medicaid is a government-sponsored health insurance program in the United States designed to provide healthcare coverage to low-income individuals and families. As a consulting firm specializing in Medicaid, Mercer’s GHSC team assists state governments in optimizing their Medicaid programs. Our team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to these individuals.As a Government Healthcare Actuarial Consultant, you will have the opportunity to collaborate with experienced programmers, actuaries, and clinicians, contributing to meaningful projects that aim to positively impact the lives of individuals and families in need. Join us in making a difference!We will count on you to:Serve as actuary on large and complex capitation rate setting and other actuarial projects.In conjunction with the project leader, work with the client to define the scope of the project and serve as an expert on rate structure and methodology and ensure consistency with federal regulations and actuarial standardsDevelop the rate setting assumptions that are built into the data model and informs client and project team on impact of data assumptions and provide on-going review and guidance during the data analysis processCollaborate with client team and project team to finalize rates and educate client on the impact of their policies on the data and ratesDraft project communications, including rate capitation letters and act as actuarial authority that signs and certifies rate capitation lettersWhat you need to have: BA/BS degreeActuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials3+ years minimum health actuarial experience, with Medicaid actuarial experience strongly preferredExcellent interpersonal skills; strong oral and written communication skillsAbility to prioritize and handle multiple tasks in a demanding work environmentStrong critical thinking and analytical problem-solving skillsWhat makes you stand out?Medicaid actuarial experience (any state program) or actuarial consulting experienceExperience related to health plan analysis or capitated rate developmentWhy join our team:We help you be your best through professional development opportunities, interesting work and supportive leaders.We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact on colleagues, clients, and communities.Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.