Job Description:

Be a part of the team that leverages our knowledge and expertise to help states manage the challenges and complexities of the health care world

Work alongside passionate, critical-thinking colleagues to assist government-sponsored programs in becoming more efficient purchasers of health services

Be on the cutting edge of health care reform. We partner with states and the Federal government on implementing a wide variety of health care and human services issues, including actuarial, data/systems analysis, clinical, policy, pharmacy, operations, and procurement

Beyond the in-depth training provided, new employees are included on client teams immediately, providing unique opportunities to learn more while helping team members with critical workloads and making a difference to our clients

As part of the company, the Government Human Services Consulting team offers its expertise within a small business atmosphere.

Responsibilities:

Serve as lead or co-lead actuary on large and complex state-managed health and welfare capitation projects. These capitation projects are commissioned by government entities to determine the rates that they will pay for health and welfare services covered by their plans

In conjunction with the project leader, work with the client to define the scope of the project and serve as an expert on rate structure and methodology and ensure consistency with federal regulations and actuarial standards

Provide actuarial oversight and guidance in developing the data model

Develop the rate-setting assumptions that are built into the data model and informs client and project team on impact of data assumptions and provide on-going review and guidance during the data analysis process

Collaborate with client team and project team to finalize rates and educate the client on the impact of their policies on the data and rates

Draft project communications, including rate capitation letters, and act as actuarial authority that signs and certifies rate capitation letters

Qualifications:

BA/BS degree

Actuarial credentials (ASA or FSA, MAAA) required

5+ years of Health & Benefits or relevant actuarial experience

Other Qualifications:

Excellent interpersonal skills; strong oral and written communication skills

Ability to prioritize and handle multiple tasks in a demanding work environment

Strong critical thinking and analytical problem-solving skills

This role is not eligible to be performed remotely from Colorado.