Actuarial Health Care Consultant

CBIZ•Phoenix, AZ
•Hybrid

About The Position

Optumas provides guidance and strategy to State Medicaid agencies and Medicaid Managed Care Plans, helping them remain efficient and effective purchasers of healthcare services. The company also supports healthcare reform initiatives by helping states assess opportunities and consequences arising from changing healthcare delivery and payment systems. The Actuarial Health Care Consultant role involves participating in healthcare consulting projects and working as part of client teams. The consultant analyzes client and state requests, develops methodologies and approaches, leads client deliverables, manages timelines, and communicates project status. The role also involves client and internal meetings, presentations, technical peer review, and supporting staff. A hybrid work schedule is available for local candidates.

Requirements

  • Bachelor's degree.
  • Strong analytical and critical-thinking skills.
  • Expertise using the Microsoft Office suite.
  • Presentation skills.
  • Proficient use of applicable technology.
  • Demonstrated ability to communicate verbally.
  • Achieve professional certifications relevant to the area of expertise and maintain required licenses.

Nice To Haves

  • 1–3 years of experience in a related field, or an internship.
  • 1–3 years of relevant professional experience performing actuarial, data, financial, or healthcare-related analyses and consulting.
  • Thorough understanding of healthcare delivery, with an emphasis on Medicaid.

Responsibilities

  • Analyze, review, interpret, and summarize detailed medical claims and enrollment data in response to client and state-specific requests.
  • Determine methodologies and approaches for projects independently.
  • Lead the development of client deliverables, including written documents.
  • Manage timelines and completion of client deliverables using Excel, PowerPoint, Tableau, and other applicable tools.
  • Ensure work products receive technical peer review and are submitted for consulting review.
  • Communicate project status updates with internal team members, including junior and senior colleagues.
  • Act as a resource for support staff.
  • Participate in client meetings, client presentations, and internal team meetings.
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