Sr. Actuarial Consultant

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 Sr. 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 standards
• Develop 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 process
• Collaborate with client team and project team to finalize rates and educate client on the impact of their policies on the data and rates
• Draft project communications, including rate capitation letters and act as actuarial authority that signs and certifies rate capitation letters

What you need to have: 

• BA/BS degree
• Actuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials
• 5+ years minimum health actuarial experience, with Medicaid actuarial experience strongly preferred
• 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

What makes you stand out?

• Medicaid actuarial experience (any state program) or actuarial consulting experience
• Experience related to health plan analysis or capitated rate development

Why 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 impact for 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.