Senior Consulting Actuary

🕒 April 22

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BerryDunn — Assurance, Tax and Consulting

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501 - 1000 employees

Founded 1974

Accounting and Assurance • Consulting • Financial Services

BerryDunn is an award-winning accounting and consulting firm with a 50-year history dedicated to providing exceptional services in assurance, tax, and consulting. The firm focuses on forming close partnerships with clients to deliver customized solutions that drive meaningful outcomes. Its expert teams work across various sectors, helping public and private entities optimize finances, reduce risks, and improve business processes with a commitment to client success.

📋 Description

• Lead actuarial engagements for state Medicaid agencies and other public health clients. • Design and oversee encounter data analytics, validating completeness and accuracy, producing utilization trend analyses, and reconciling encounter to financial data for managed care oversight. • Develop and certify Medicaid managed care capitation rates that are actuarially sound, including risk adjustment methodologies. • Conduct financial analyses and modeling for HCBS, LTSS, and PACE programs. • Mentor junior actuarial staff and contribute to professional development initiatives.

🎯 Requirements

• 15+ years of actuarial experience, including at least 5 years supporting or employed by a state Medicaid agency. • FSA or ASA with active membership in the AAA (required). • Demonstrated ability to lead a team of actuaries. • Proven experience developing actuarially sound managed care capitation rates, risk adjustment methodologies, and waiver cost-effectiveness models. • Deep familiarity with CMS review processes, federal regulatory standards, and ASOP compliance. • Expertise with Medicaid and commercial claims/encounter data, including All-Payer Claims Databases (APCDs) and Medicaid Management Information Systems (MMIS). • Excellent communication skills and a strong record of producing defensible actuarial documentation for CMS, state agencies, and legislative oversight entities. • Experience providing expert testimony or support in rate hearings and rate negotiations preferred. • Advanced skills in Microsoft Excel, Word, PowerPoint.

🏖️ Benefits

• Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being. • Authorized accommodations for the job application or interview process.