Actuary

Full Job Description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary (OACT), Medicare & Medicaid Cost Estimates Group (MMCEG).

As a Actuary, GS-1510-13, you will be responsible for the development of long-range and short-range financial programs for the national health care programs.

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.

Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position.

Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating.

This will prevent you from receiving further consideration.

In order to qualify for the GS-13, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-12 grade level in the Federal government, obtained in either the private or public sector, to include: Providing actuarial guidance in review of cost estimates, payment models, or managed care programs; AND Developing project plans or coordinating project tasks and deliverables; AND Analyzing, interpreting, or communicating actuarial data and information.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social).

Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment.

You will receive credit for all qualifying experience, including volunteer experience. Major Duties:

• Develop actuarial estimation methodologies and models for historical and projected Medicaid, CHIP, Medicare-Medicaid dual eligibles, and BHP operation and for proposed program changes.
• Analyze, evaluate, interpret, and communicates technical and actuarial data and information for publication in the Agency’s annual Actuarial Report on the Financial Outlook for Medicaid.
• Provide actuarial and technical guidance in review of Medicaid or other health care program waivers, alternate payment models, and managed care programs within OACT and other CMS components.
• Develop standards and processes for reviewing Medicaid managed actuarial certifications for capitation rates.