Medicaid Actuarial Senior Consultant
About the job
- At least 5 years of health actuarial experience and consulting and/or health plan or insurance company experience.
- At least 2 years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development.
- Exam progress toward Associate of the Society of Actuaries or Fellow of the Society of Actuaries designation.
- A Bachelor's Degree.
- Legal authorization to work in the United States without current or future employer sponsorship.
- Ability to travel up to 20–50% on average, based on client and sector needs.
- Ability to work independently and collaborate as part of a team.
- Effective written and verbal communication skills.
- Meticulous attention to detail and quality of work product.
- Ability to build and sustain professional relationships.
- Ability to lead projects or workstreams.
- Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment.
- Strong interpersonal skills and professional demeanor.
- Ability to meet deadlines.
- Ability to mentor and provide clear guidance to others.
- Provide strategic and technical consulting services to public sector clients.
- Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment.
- Support business development efforts for federal and state governments, employer groups, and other public entities.
- Develop innovative actuarial solutions, including artificial-intelligence-driven solutions, frameworks incorporating social drivers of health, and transitions of payment models to value-based payment frameworks.
- Address complex, ill-defined problems with strong technical and innovative approaches.
- Apply business-oriented strategies to enhance client outcomes and solutions.
- Collaborate with cross-functional teams to deliver comprehensive actuarial services.
- Engage in continuous learning and adaptation to emerging health care trends and technologies.
- Associate of the Society of Actuaries with progression to Fellow of the Society of Actuaries, Fellow of the Society of Actuaries, or career Associate of the Society of Actuaries designation.
- Experience providing Medicaid consulting services to government agencies.
- Experience with Medicaid waivers, including 1115, 1915(b/c), and 1332 waivers.
- Experience with risk adjustment mechanisms.
- Experience with provider reimbursement streams, including Disproportionate Share Hospital and Upper Payment Limit programs.
- Experience with health care reform and working knowledge of individual medical and small group markets.
- Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various enrollee types.
- Experience with reimbursement models, including value-based care and Accountable Care Organization modeling.
- Knowledge of group insurance products, including disability and long-term care insurance.
About the company
Deloitte audits companies and advises businesses and governments on tax, technology, and risk, and it is one of the Big Four, the world's four largest accounting firms. In 1849 its founder became the first independent auditor of a public company, Britain's Great Western Railway. Its auditors check companies' financial reports for errors and fraud before investors rely on them, while its consultants design strategy, install business software, and defend clients against cyberattacks. Clients pay fees for each audit or project, and each country's Deloitte firm is a separate business owned by its local partners. Deloitte was founded in London in 1845 and is based in New York.
Company Size
10,001+
Company Stage
Late Stage VC
Total Funding
$17.1M
Headquarters
Madrid, Spain
Founded
1845
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Simplify's Take
What believers are saying
- Growth keeps hiring going: revenue rose 5.7% to $74.5 billion and staff neared 500,000 in the year to May 2026.
- AI is part of the job: in October 2025, Deloitte opened the Claude assistant to 470,000 people, Anthropic's largest rollout.
- Making partner pays off: Deloitte UK's 784 equity partners averaged £1.125 million in profit in the year to May 2026.
What critics are saying
- Tech consulting is lagging: it grew 2.5% in the year to May 2026, the slowest of Deloitte's four businesses.
- Back-office benefits are shrinking: Deloitte US will halve parental leave to 8 weeks for internal staff in January 2027.
- Federal work brings scrutiny: Deloitte agreed to pay $21.5 million in August 2026 over claims diversity targets swayed promotions.
What makes Deloitte unique
- Deloitte is the biggest Big Four accounting firm: fiscal 2025 revenue of $70.5 billion beat PwC's $56.9 billion.
- Consulting runs deeper here: Deloitte kept its consultants in 2003 after PwC, EY, and KPMG sold or spun off theirs.
- Deloitte leads cyber consulting: it took 32% of worldwide security consulting revenue in 2025, research firm Gartner says.
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Benefits
Professional Development Budget
Hybrid Work Options
Company News
Business Insider convened 15 HR and C-suite leaders in Davos to discuss how AI is reshaping hiring and talent pipelines. The roundtable, presented by Indeed, revealed growing concerns about entry-level positions and skills assessment. Deloitte's Elizabeth Faber emphasised maintaining a "human-led, technology-powered" approach whilst carefully navigating reduced junior hiring. TCW's Melissa Stolfi noted her firm has downsized its analyst class but maintains a pyramid structure to preserve apprenticeship culture and future leadership pipelines. Indeed's chief economist Svenja Gudell warned that whilst tech employers now demand five-plus years' experience, this creates future talent shortages if junior hiring continues declining. Salesforce's Nathalie Scardino said her company receives two million applications annually and has shifted focus from years of experience to learning aptitude. Manpower Group's Becky Frankiewicz noted AI can process candidates faster whilst reducing bias, potentially unlocking opportunities beyond traditional qualifications.
Deloitte plans to hire 50,000 employees in India and is evaluating Mangaluru, Karnataka, as a potential new location, according to South Asia CEO Romal Shetty. The company currently employs 140,000 people in India, representing one in four Deloitte employees globally. Shetty said India hosts 50% of all global capability centres worldwide, with significant growth potential in Tier II and Tier III cities. He proposed creating digital economic zones integrating GCCs, GPU-based data centres, startups and academic institutions to accelerate expansion. The CEO called for streamlining GCC setup processes from six months to two weeks, whilst acknowledging infrastructure constraints around energy and water for data centres. Shetty noted Mangaluru offers advantages including talent availability and real estate, adding the company's presence there is a matter of timing.
Deloitte has invested in Kihomac to enhance U.S. drone manufacturing, aiming to strengthen national security and supply chains. This investment will allow Kihomac, a veteran-owned company, to expand production in Utah and mass-produce drones for U.S. government agencies and businesses. Deloitte's support will create manufacturing jobs and secure the supply chain for American customers.
Deloitte has acquired 100% of Virtus Partners, founded by Gonzalo and Marcelo Larraguibel, to enhance its strategic consulting business in Chile. This acquisition aims to offer comprehensive solutions from strategy design to execution. Deloitte's CEO, Christian Durán, emphasized the significance of this move in strengthening their market position. The merger combines Deloitte's global capabilities with Virtus Partners' local expertise, offering a unique strategic consulting platform in Chile.
Deloitte Canada has acquired Toronto-based fintech firm Allevar, enhancing its capabilities in regulatory compliance and technology solutions. Allevar specializes in fraud management, AML, payment systems, and KYC regulations, crucial for Canadian banks and the financial services industry. Allevar's leadership, including CEO Dan Wood, will join Deloitte's Regulatory Risk practice. This acquisition aligns with Deloitte's strategy for growth in the digital and AI age.