Actuarial Director - Medicaid Pricing

Job description

Become a part of our caring community The Director, Actuarial of Medicaid Pricing provides actuarial support across a broad range of actuarial and business needs for specific product lines. You will require an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Actuarial of Medicaid Pricing will report to the Associate VP, Lead Medicaid Actuary. Key Responsibilities: 1. Rate Advocacy Lead proactive rate advocacy efforts across assigned Medicaid markets Identify gaps between emerging experience vs. state rate assumptions Develop clear, evidence-based narratives to support rate adequacy discussions with state actuaries and regulators Partner with market CFOs and leadership to align on advocacy posture, trade-offs, and priorities Drive earlier engagement with states prior to draft rate development Represent the organization in external forums 2. Financial Insight & Risk Identification Translate financial results into actionable insights Support reforecast cycles with clear articulation of financial drivers Identify opportunities to improve financial outcomes in maturing markets 3. Market Partnership Serve as the actuarial t...