Government Healthcare Actuarial Lead

Marsh McLennan•Tampa, FL

6d•$150,500 - $301,000•Hybrid

About The Position

Mercer is seeking a Government Healthcare Actuarial Lead for its Government Human Services Consulting team. This hybrid role requires working in the office at least three days a week. The team supports publicly funded health and human services clients as they transform healthcare programs, with a focus on building trusted client relationships and bringing together multidisciplinary expertise. The role leads actuaries, actuarial and data analysts, clinicians, and health policy consultants on large, complex capitation rate-setting and other actuarial projects. Working with other project leaders, the Lead partners with clients to define and manage project scope, advises on rate structures and methodologies, and ensures work aligns with federal regulations and actuarial standards. The role oversees rate-setting assumptions and actuarial models, communicates the impact of data and assumptions, and provides ongoing review and guidance throughout the rate-setting process. The Lead works directly with clients on emerging or unique program challenges, oversees project communications such as rate certification letters and presentations, and serves as an actuarial authority who signs rate certification letters and other statements of actuarial opinion. The role also supports the growth of experienced and junior actuaries and actuarial students through guidance, oversight, and mentoring. Mercer describes the environment as embracing AI and technology-enabled tools.

Requirements

BA/BS degree.
At least 10 years of health actuarial experience, including at least 5 years of Medicaid actuarial experience.
Actuarial credentials: ASA, FSA, and MAAA.
Experience leading large multidisciplinary teams and large, complex projects.

Nice To Haves

Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies.
Actuarial consulting experience.
Ability to handle client and project management in a demanding work environment with tight deadlines.
Experience related to health plan analysis or capitated rate development.

Responsibilities

Lead multidisciplinary teams on multiple large, complex capitation rate-setting and other actuarial projects.
Work with project leaders and clients to define and manage project scope.
Advise clients on rate structures and methodologies and ensure consistency with federal regulations and actuarial standards.
Oversee development of rate-setting assumptions incorporated into actuarial models.
Explain the impacts of data and assumptions to clients and project teams, and provide ongoing review and guidance throughout the rate-setting process.
Work directly with clients on emerging or unique program challenges and develop solutions with Mercer actuaries, clinicians, and health policy consultants.
Oversee project communications, including rate certification letters and presentations.
Sign rate certification letters and other statements of actuarial opinion as an actuarial authority.
Identify growth and development opportunities for actuaries and actuarial students on project teams, and provide guidance, oversight, and mentoring.