Actuarial Manager- Medicaid Consultant

CBIZ•Phoenix, AZ

6d•$100,000 - $140,000•Remote

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 responsibilities. The successful candidate 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. Its teams combine actuarial expertise, healthcare data analysis, policy knowledge, and practical program experience to help clients address complex financial and operational challenges. The Actuarial Manager leads Medicaid and public-sector consulting projects from planning through delivery, managing work plans, priorities, budgets, and timelines while coordinating teams. The role performs and leads actuarial, financial, and healthcare data analyses and develops models, forecasts, and deliverables. It also builds client relationships, contributes to business development, represents the organization at industry events, and mentors and develops team members.

Requirements

Bachelor's degree; a quantitative field such as actuarial science, mathematics, statistics, economics, or finance is preferred.
At least five years of relevant experience in actuarial work, healthcare consulting, Medicaid, managed care, or healthcare analytics.
Demonstrated leadership experience 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, with the ability to manage competing priorities and meet established deadlines with high-quality work.
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.
Bachelor's degree (minimum qualification).

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 updates, findings, and risks to clients and leadership while ensuring quality standards and expectations are met.
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.
Build trusted client relationships by understanding client needs and delivering tailored solutions.
Identify growth opportunities 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, and foster collaboration, accountability, continuous learning, excellence, and innovation.