Senior Manager – Consulting Actuary

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BerryDunn — Assurance, Tax and Consulting

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1974

🏥 Healthcare

🛡️ Insurance

⚖️ Legal

Healthcare • Insurance • Legal

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

• Design and conduct actuarial, financial, and quantitative analyses addressing Medicaid policy, eligibility, enrollment, utilization, spending, provider reimbursement, managed care payments, incentives, program performance, and operational impacts • Assess the effects of federal and state Medicaid policy changes on beneficiaries, providers, managed care organizations, program administration, and state expenditures • Develop scenarios, analytic approaches, actuarial models, forecasts, fiscal impact analyses, cost projections, and quantitative approaches using healthcare data • Document methods, assumptions, limitations, uncertainty, and policy and implementation implications • Analyze Medicaid managed care capitation, provider reimbursement, value-based and alternative payment models, Total Cost of Care initiatives, supplemental payments, directed payments, and multi-payer reform efforts • Support Medicaid financing and federal authority activities, including waivers, state plan amendments, directed payments, provider reimbursement, budget neutrality, cost-effectiveness, and federal claiming strategies • Develop, review, or support actuarially sound healthcare payment and financing methodologies, including capitation rates, risk adjustment, risk scoring, trend development, rate rebalancing, and financial settlements • Lead complex client questions, analytic approaches, work plans, substantive actuarial and quantitative workstreams, and analytical quality • Engage directly with senior Medicaid, government, and healthcare leaders • Translate complex findings into reports, presentations, policy briefs, technical documentation, and recommendations • Collaborate across actuarial, economic, policy, provider finance, data science, healthcare analytics, and operations disciplines • Mentor junior staff and contribute to proposals, client opportunities, relationship development, business development, and growth of BerryDunn’s Medicaid, actuarial, and healthcare consulting services

🎯 Requirements

• Associate or Fellow of the Society of Actuaries with active membership in the American Academy of Actuaries • Annual attestation to meeting the U.S. Qualification Standards, including applicable Specific Qualification Standards • At least 15 years of relevant health actuarial experience • Substantial experience supporting Medicaid programs, public-sector healthcare initiatives, managed care organizations, health insurance programs, healthcare financing analyses, or healthcare consulting clients • Experience applying actuarial methods to healthcare cost projections, fiscal impact analyses, payment modeling, risk adjustment, managed care financing, provider reimbursement, program evaluation, or related quantitative analyses • Strong knowledge of Medicaid policy, healthcare financing, managed care, provider payment, reimbursement, actuarial standards of practice, CMS requirements, and federal and state healthcare regulations • Experience analyzing healthcare claims, encounter, eligibility, enrollment, utilization, provider, financial, demographic, or related data • Ability to independently lead complex actuarial or quantitative work, exercise professional and methodological judgment, oversee technical staff, and collaborate across multidisciplinary teams • Excellent written, verbal, and presentation skills • Strong client relationship, project management, and leadership skills • Advanced proficiency with Microsoft Excel, Word, and PowerPoint • Ability to handle sensitive Medicaid, provider, and beneficiary data, including personally identifiable information and protected health information, and follow privacy, security, confidentiality, and HIPAA requirements • Availability during Hawaii Standard Time working hours • Ability to travel periodically within Hawaiʻi, the Pacific region, and the continental United States; expected travel less than 25% per year

🏖️ Benefits

• Benefits supporting physical, mental, career, social, and financial well-being • Reasonable accommodation for the application, interview, and essential job functions • Equal employment opportunity workplace • Learning, development, and well-being culture initiatives