Medicaid Actuarial Principal

Senior Government Health Actuary Medicaid Rate‑Setting & Program Leadership I'm partnering with a national government health consulting platform that advises state Medicaid agencies on some of the largest and most complex capitation rate‑setting initiatives in the country. They're seeking a senior actuarial leader to provide strategic oversight across multi‑state Medicaid programs and serve as a trusted advisor to public‑sector clients. This role sits at the intersection of technical authority, client leadership, and people development. What you'll lead Provide senior actuarial oversight for large Medicaid rate‑setting engagements, including capitation development and related financial analyses Serve as a strategic partner to clients, advising on rate structures, methodologies, and regulatory considerations Direct and mentor multi‑disciplinary teams of actuaries, analysts, clinicians, and policy professionals Oversee actuarial assumptions and modeling approaches, ensuring consistency with federal guidance and actuarial standards Review and sign formal actuarial deliverables, including rate certification letters and statements of actuarial opinion Play an active role in talent development, mentoring experienced actuaries and helping grow future leaders What they're looking for Bachelor's degree 10+ years of health actuarial experience, with deep Medicaid specialization (5+ years) ASA or FSA credentials required Demonstrated experience leading large, complex client engagements and teams Experience that differentiates Medicaid work across multiple states, programs, or payer types Actuarial consulting background with senior client ownership Strong experience with capitated rate development and health plan financial analysis Comfortable operating in high‑stakes, deadline‑driven environments Why this role This is an opportunity to step into a visible leadership position, influence large‑scale Medicaid programs, and help shape both client outcomes and the next generation of actuarial talent.