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Senior Government Healthcare Actuarial Consultant

Company: Marsh and McLennan
Location: Phoenix
Posted on: August 7, 2022

Job Description:

Mercer s Government Human Services Consulting (GHSC) practice focuses on the unique and challenging needs of the public health care sector, providing a wide array of consulting services to local, state, and federal government agencies across the country. GHSC helps clients achieve better outcomes, develop and deploy defensible strategies, and reshape the delivery of health care. We deliver an individualized focus, powered by industry-leading experience, integrated capabilities and passionate people. GHSC has been partnering with states and other stakeholder organizations for over 35 years to face the demands and pace of change with data driven pricing, clinically-informed policy and trusted, reliable strategies to manage and deliver care. Mercer is currently recruiting for a Senior Government Healthcare Actuarial Consultant to work in one of the following offices: Phoenix, Atlanta, Washington DC or Minneapolis. Senior Government Healthcare Actuarial Consultant What can you expect?

  • Be a part of the team that leverages our knowledge and expertise to help states, including the State of California Medi-Cal program, manage the challenges and complexities of the health care world What is in it for you?
    • Work for a global company with excellent benefits and a dynamic culture
    • Opportunity to surround yourself with other lifelong learners, while collaborating on meaningful work in a fast-paced, team environment. We will count on you to:
      • Serve as the lead or co-lead actuary on large and complex Medi-Cal capitation rate setting and other actuarial projects.
      • Provide oversight of actuarial work and guidance in developing the data model for the project and review data modeling, data assumptions and analysis results for actuarial soundness
      • Collaborate with client team and project team to finalize rates; educate and consult with client on the impact of their policies on the data and rates; act as actuarial authority that signs and certifies rate capitation letters
      • Ensure regular communication with client to review project status and expectations; provide expertise and insight to client and team to solve potential problems within the project; manage scope of project, budget and timelines
      • Manage the relationship with the key client stakeholders and oversee client engagements including: overseeing multiple project managers; ensuring the team is within budget, on time and producing work consistent with the scope of work; ensuring communication with client, project team and senior client leader
      • Identify opportunities for expanded revenue with existing clients. Utilize knowledge of client s challenges and of the diverse expertise within GHSC to identify sales opportunities. These opportunities can be for established expertise and services or for new and innovative expertise and services
      • Pursue new business; leverage relationships with clients, expertise and intellectual capital to create new business opportunities
      • Develop intellectual capital; lead or participate in the development of tools or processes that can be leveraged for multiple clients What you need to have:
        • BA/BS degree
        • Actuarial credentials (ASA or FSA, MAAA) required.
        • 12 years minimum health actuarial experience, with some Medicaid actuarial experience required What makes you stand out:
          • Excellent interpersonal skills; strong oral and written communication skills
          • Ability to prioritize and handle multiple tasks in a demanding work environment
          • Strong strategic and critical thinking and analytical problem-solving skills
          • Ability to effectively lead a team of staff
          • Having certified Medicaid capitation rates in the past
          • Experience related to the California Medi-Cal data or program, health plan analysis or capitated rate development is preferred, but not required Mercer believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being. Mercer s more than 25,000 employees are based in 44 countries and the firm operates in over 130 countries. Mercer is a business of Marsh & McLennan (NYSE: MMC), the world s leading professional services firm in the areas of risk, strategy and people, with 76,000 colleagues and annual revenue of $17 billion. Through its market-leading businesses including Marsh, Guy Carpenter and Oliver Wyman, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment. For more information, visit . Follow Mercer on Marsh & McLennan Companies and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.

Keywords: Marsh and McLennan, Phoenix , Senior Government Healthcare Actuarial Consultant, Government & Protective Services , Phoenix, Arizona

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