Actuarial Manager- Medicaid Consultant
About The Position
Optumas is seeking an Actuarial Manager to lead Medicaid consulting engagements and help clients make informed, data-driven decisions. This player-coach role combines team leadership and project oversight with hands-on actuarial and analytical work. The manager will lead analytical teams and personally perform complex analyses to support client decision-making. Optumas provides consulting and actuarial services to organizations serving Medicaid and other publicly funded healthcare programs, combining actuarial expertise, healthcare data analysis, policy knowledge, and practical program experience to address financial and operational challenges.
Requirements
- Bachelor's degree; the preferred field is actuarial science, mathematics, statistics, economics, finance, or a related quantitative field.
- 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 the ability to manage competing priorities and deliver high-quality work by established deadlines.
- Proficiency with relevant analytical tools such as SQL, SAS, R, or Python, and Microsoft Office applications, particularly Excel.
- Ability to handle protected health information and other sensitive information appropriately.
- Ability to travel occasionally based on client and business needs.
Nice To Haves
- Associate of the Society of Actuaries (ASA) designation.
- Experience working with state Medicaid agencies, Medicaid managed care organizations, or other public healthcare programs.
- Knowledge of Medicaid managed care financing, actuarial rate development, healthcare program operations, and applicable CMS requirements.
- Experience supporting proposals, business development, or the design of new consulting services.
Responsibilities
- Lead Medicaid and public-sector consulting projects from planning through delivery.
- Manage work plans, priorities, budgets, and timelines; coordinate teams and provide guidance.
- Communicate project updates, findings, and risks to clients and leadership, ensuring quality standards and expectations are met.
- Perform actuarial, financial, and healthcare data analyses, and lead the 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.
- Build trusted client relationships by understanding client needs and delivering tailored solutions.
- Identify opportunities for growth and contribute to proposals and business development.
- Represent the organization at industry events and provide expertise for other engagements.
- Mentor and develop team members, provide coaching and feedback on analytical projects, and foster collaboration, accountability, and continuous learning.
- Promote a culture of excellence and innovation within the team.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
