Job Description
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.
Work you'll do
As a Government Health Actuary Manager, you will:
+ Support business development efforts for Federal and State governments, employer groups, and other public entities
+ Facilitate the transition of payment models from service-based to value-based frameworks
+ Address complex, ill-defined problems with strong technical and innovative approaches
+ Apply business-oriented strategies to enhance client outcomes and solutions
+ Collaborate with cross-functional teams to deliver comprehensive actuarial services
+ Drive initiatives that improve health care delivery and efficiency for public sector clients
+ Engage in continuous learning and adaptation to emerging health care trends and technologies
The Team
Deloitte'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.
Qualifications
Required:
+ 10+ years of health actuary experience and consulting and/or health plan/insurance company experience
+ 5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development
+ 5+ years of experience managing and leading teams
+ Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
+ Ability to travel up to 50-60%, on average, based on the work you do and the clients and industries/sectors you serve
+ ASA with progression to FSA, FSA, or career ASA designation
+ Bachelor's Degree
Preferred:
+ Experience providing Medicaid consulting services to Government agencies
+ Experience with Medicaid waivers (i.e., 1115, 1915 b/c, 1332)
+ Experience with risk adjustment mechanisms
+ Experience 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 types
+ Experience with reimbursement models - including value based care/ACO modeling
+ Knowledge of group insurance products including disability, long term care, etc.
Information for applicants with a need for accommodation:
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.
Job Tags
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