Actuary
Greater Minneapolis-St. Paul Area
Actuarial consulting for designing, implementing and monitoring Medicaid and Medicare managed care programs.Responsibilities - Client facing project manager for actuarial rate setting projects- Assisting with program design, policy, procurement, implementation, and evaluation of State Medicaid acute care, substance abuse, mental health, and HCBS programs- Actuarial certification for Medicaid managed care capitation rate development, risk adjustment, and PACE UPL development - Medicare MA and PD bid review and bid audits on behalf of CMS- Stakeholder engagement including vendor contract rate negotiations- Health care reform analysis and implementation, including Medicaid expansion- ROI analysis for clinical intervention programs in behavioral health and pharmacy benefits