Full Time Optum Health Coding Risk Adjustment Jobs in Phoenix, AZ

Senior Leader, Government Health Actuary

We are seeking a talented individual to join our Government Health Actuaries team at Mercer, a Marsh business. This role can be based in Phoenix, Atlanta, or Minneapolis. This is a hybrid role that has a requirement of working at least three days a week in the office.

As a Senior Leader, Government Health Actuary, you will develop the overall strategy for the Health Actuaries team and strive to become a trusted resource by delivering ongoing actuarial work that is client ready, on time, and on budget. You will provide high-level review of data analyses related to underwriting health and welfare insurance, brokering contracts, and projecting health care costs, ensuring actuarial soundness and proper use of models. You will also lead the development of senior team members and oversee client engagements to maintain our high service standards.

We will count on you to:

• Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting a portfolio of large, complex capitation rate setting, risk adjustment and related projects across one or more state Medicaid clients.
• Work with our clients to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards.
• Oversee the all aspects of actuarial rate development and related services, advise our clients on the impact of data, assumptions and emerging trends on their programs and budgets, and provide on-going review and guidance throughout the project life cycle.
• Collaborate with client and projects team to finalize actuarial work product and educate clients on the impact of their policies on the data and rates.
• Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions.
• Oversee the completion and delivery of actuarial work product and communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion.
• Cultivate a growth-oriented culture within your project teams, including overseeing the development experienced actuaries, junior actuaries, and actuarial students. Provide guidance, oversight and mentoring for actuarial staff as needed.
• Support new business pursuits, including responses to competitive procurements and expansion of existing contracts.

What you need to have:

• BA/BS degree
• Actuarial credentials (ASA or FSA, MAAA) strongly preferred
• 15+ years minimum health actuarial experience, with 10+ Medicaid actuarial experience

What makes you stand out:

• Medicaid actuarial experience spanning multiple states, programs, health insurers or Federal agencies
• Client-facing actuarial consulting experience
• Experience building and managing multiple large, multi-disciplinary teams
• 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
• Engagement with the Society of Actuaries, American Academy of Actuaries, or other professional actuarial organizations

What's in it for you:

• Opportunity to work on meaningful programs that support vulnerable populations as part of multi-disciplinary teams.
• Professional development, growth and advancement opportunities, and strong peer support.
• Thrive and be motivated by an environment that embraces AI and technology-enabled tools.
• A vibrant, inclusive culture within a global firm offering competitive benefits and rewards.

Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective.

Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law.

If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@marsh.com. Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week.

Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $212,000 to $318,000.

The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.