Sr. Government Health Actuary

We are seeking a talented individual to join our Government Health Consulting (GHC) team s can be based anywhere near a Marsh office and offers a hybrid work arrangement, requiring a minimum of three days per week in the office. Remote working requests will be handled on a case-by-case basis.

As a Senior Government Consultant I - Program Integrity Specialist, you will play a vital role as a core team member providing expert insights on complex projects for clients, which are primarily state Medicaid and Children's Health Insurance Program (CHIP) agencies and related state agencies responsible for Medicaid and CHIP fee-for-service and managed care programs. This is a great opportunity to join a global company known for its dynamic culture, excellent benefits, and commitment to professional growth where you can experience meaningful work alongside supportive leaders dedicated to your success!

• Provide project leadership, thought leadership, project team leadership, and targeted business development
• Lead and contribute to client deliverables, presentations, and project documentation with increasing ownership over time
• Collaborate with cross-functional teams to understand how regulatory requirements translate into changes to programs, services, and quality reporting
• Participate in and lead client projects related to fraud, waste, and abuse prevention; compliance monitoring; risk assessment; and external audit coordination;
• Coordinate project priorities, client needs, subcontractor/vendor collaboration, deliverable development, workgroup activity, and leadership reporting
• Coordinate and manage project teams, ensuring the team is within budget, on time, and producing work consistent with the scope of work; and ensuring communication with the client, project team, and client manager
• Work with Division and Sector leadership to identify and secure staffing resources, ensuring work is leveraged to the right skill and career level, and providing team members with opportunities to develop their skills and expertise
• Interpret and apply Medicaid policy, federal and state requirements, and applicable Code of Federal Regulations; consider the implication of new trends or changes in policies or regulations on clients' programs; and bring a forward-looking/strategic perspective to counsel the internal client team and clients
• Engage and collaborate with stakeholders, including Medicaid leadership, managed care entities, providers, and beneficiaries, to gather feedback and inform program recommendations
• Manage the quality and timeliness of client deliverables, communicating regularly and effectively with project teams
• Develop intellectual capital; lead or participate in the development of tools or processes that can be leveraged for multiple clients
• Be responsible for motivating and encouraging team members. Manage project team dynamics and nurture collaboration amongst team members, including subcontractors/vendors

• High school diploma, Bachelor's degree (BA/BS), 5 years of experience, or a combination of education and experience
• Knowledge of Medicaid program integrity, fraud, waste, and abuse prevention, provider oversight, claims review, audit support, compliance monitoring, or related public sector healthcare operation
• Strong critical thinking and analytical problem-solving skills
• Excellent interpersonal skills
• Ability to manage, motivate, and mentor early career staff
• Strong written and oral communication skills, as well as presenting information to clients/groups
• Ability to prioritize, handle, and pivot among multiple tasks in a demanding work environment with a proven track record in supporting or leading large, complex…