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Summary
About the Role
About You
- 5+ years of health actuary experience and consulting and/or health plan/insurance company experience.
- 2+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development.
- Must be legally authorized to work in the United States without the need for employer sponsorship.
- Ability to travel up to 20-50%, on average, based on the work you do.
- Exam progress towards ASA or FSA.
- Bachelor's Degree.
- ASA with progression to FSA, FSA, or career ASA designation.
- Experience providing Medicaid consulting services to Government agencies.
- Experience with Medicaid waivers (i.e., 1115, 1915 b/c, 1332).
- Experience with risk adjustment mechanisms.
- Experience with Provider reimbursement streams (i.e., DSH, UPL, etc.).
- Experience with health care reform and working knowledge of the individual medical and small group markets.
- Experience with Medicare products, including Medicare Advantage or Medicare Supplement products.
- Experience with reimbursement models - including value based care/ACO modeling.
- Knowledge of group insurance products including disability, long term care, etc.
Benefits
- Competitive salary range of $102k–$188k.
- Eligibility to participate in a discretionary annual incentive program based on performance.
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