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Consultant - Actuarial Consulting, State Strategy & Innovation – State Medicaid

Apply Job ID 16822 Date posted 04/27/2024

Job Family:

Strategy & Transformation Consulting


Travel Required:

Up to 25%


Clearance Required:

None

What You Will Do:

Consultants have responsibility for client management, solution implementation and generation of project results. You will own project workstreams and interact with clients regularly to ensure engagement success. Consultants are expected to prepare and communicate well-organized, effective analyses, reports, and presentations to internal and external stakeholders.

Over 21% of the US population receive healthcare through Medicaid, and our team supports that important work by focusing on the long-term financial viability of our clients’ programs. Our work helps our clients make informed decisions that directly support the Triple Aim of healthcare, ensuring Medicaid beneficiaries can receive high quality care wherever they live, while minimizing state expenses.

As an actuarial consultant focusing on Medicaid programs, you will ensure quality deliverables are created and validated in the following areas:

  • Capitation rate development,
  • Valuation of Incurred But Not Reported (IBNR) Estimates,
  • Risk adjustment calculations of premium,
  • Analysis of MLR and other financial reports,
  • Development of budget projections,
  • Creating data dashboarding to analyze emerging trends,
  • Providing support to State Medicaid programs with legislative requests, and
  • Other actuarial modeling as needed

We encourage career development and are hiring for the long-term, as we support our actuaries in their process to become credentialed with a comprehensive and competitive actuarial study program.

We encourage career development and hiring for the long-term.  As a consultant, you will have clearly defined career growth goals and opportunities available to you based on your internal and external contributions and opportunities to coach and mentor consultants. In this role, you will deepen your specialized industry knowledge and consulting skills, hone project management skills, leadership abilities, and the aptitude for managing multiple workstreams, and in doing so will have the opportunity to progress to the Senior Consultant level. 

What You Will Need:

  • 1-3 years of prior relevant consulting experience
  • Completion of at least 2 actuarial exams, with intent and ability to progress to ASA or FSA
  • Bachelors or higher in Actuarial Science, Economics, Finance, Insurance, Mathematics, Risk Management, Statistics
  • 1+ year of work experience analyzing and summarizing data using spreadsheets
  • Knowledge of actuarial and statistical modeling techniques
  • Experience handling multiple projects and tasks
  • Proficient in Microsoft Office suite (especially Excel and PowerPoint)
  • Experience communicating with multiple levels of the organization using written and verbal communication


What Would Be Nice To Have:

  • Problem-solving and critical thinking skills
  • Knowledge of Medicaid capitated rate-setting or health claims projections
  • Intellectual curiosity and ability to draw complex conclusions from data
  • Knowledge of Business Analytics software such as PowerBI, Access, SAS or R, and/or SQL
  • Self-starter with the ability to work individually

The annual salary range for this position is $71,800.00-$107,600.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.


What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave and Adoption Assistance

  • 401(k) Retirement Plan

  • Basic Life & Supplemental Life

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Student Loan PayDown

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

  • Emergency Back-Up Childcare Program

  • Mobility Stipend

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.


Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.


If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.


Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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