Actuarial Manager- Medicaid Consultant

Overview

This role is a player-coach position combining team leadership and project oversight with hands-on actuarial and analytical work. The organization is seeking an Actuarial Manager to lead Medicaid consulting engagements and help clients make informed, data-driven decisions.

The organization provides consulting and actuarial services to entities serving Medicaid and other publicly funded healthcare programs. Work blends actuarial expertise, healthcare data analysis, policy knowledge, and practical program experience.

Responsibilities

• Engagement and Project Leadership: Lead Medicaid and public-sector consulting projects from planning to delivery. Manage work plans, priorities, budgets, and timelines; coordinate teams and provide guidance. Communicate updates, findings, and risks to clients and leadership while ensuring quality standards and expectations are met.
• Actuarial and Analytical Leadership: Perform actuarial, financial, and healthcare data analyses. Lead development of models, forecasts, and deliverables. Analyze data to identify trends and provide actionable recommendations. Maintain and improve analytical tools, methodologies, and quality-control processes while building expertise in Medicaid financing and healthcare operations.
• Client Service and Practice Growth: Build trusted relationships with clients by understanding their needs and delivering tailored solutions. Identify opportunities for growth and support proposals and business development. Represent the organization at industry events and provide expertise for other engagements.
• Team and People Leadership: Mentor and develop team members. Lead by example with hands-on work and technical analysis. Provide coaching and feedback on analytical projects to foster collaboration, accountability, and continuous learning.

Requirements

• Minimum Qualifications

  • Bachelor’s degree

• Preferred Qualifications

  • Bachelor’s degree in actuarial science, mathematics, statistics, economics, finance, or a related quantitative field; Associate of the Society of Actuaries (ASA) designation.
  • At least five years of relevant experience in actuarial work, healthcare consulting, Medicaid, managed care, or healthcare analytics.
  • Demonstrated leadership experience, including leading projects, workstreams, or consulting engagements, and supervising, mentoring, or developing actuarial or consulting professionals.
  • Experience analyzing healthcare claims, enrollment, eligibility, or financial data.
  • Strong written and verbal communication skills, including presenting complex information to clients and internal leaders.
  • Advanced analytical, problem-solving, and organizational skills, including managing competing priorities and delivering high-quality work within established deadlines.
  • Proficiency with analytical tools (e.g., SQL, SAS, R, or Python) and Microsoft Office applications, particularly Excel.
  • Ability to handle protected health information and other sensitive information appropriately.
  • Experience working with state Medicaid agencies, Medicaid managed care organizations, or other public healthcare programs, including knowledge of Medicaid managed care financing, actuarial rate development, healthcare program operations, and applicable CMS requirements.
  • Experience supporting proposals, business development, or designing new consulting services.
  • Ability to travel occasionally based on client and business needs.

Compensation & Benefits

Not specified in the provided job description.

Location

Not specified in the provided job description.