Medicaid Actuary

Full Job Description

The Iowa Department of Health and Human Services (HHS) is seeking a Medicaid Actuary to lead financial and actuarial analysis for Iowa’s Medicaid managed care program.

This role is critical to ensuring financial integrity and compliance while supporting data-driven decisions that impact healthcare for thousands of Iowans.

What’s Required

• Schedule: Monday – Friday 8am – 4:30pm.
• Location: Report to the Lucas Building in Des Moines two (2) days per week.
• Knowledge of Medicaid Programs and Policies.
• Strong verbal and written communication skills.

What You’ll Do

• Develop and monitor actuarially sound capitation rates for Managed Care Organizations (MCOs) and Dental Plans.
• Research & Analyze encounter data, claims trends, and costs to support rate setting.
• Evaluate financial performance, risk corridors, and Pay-for-Performance benchmarks.
• Prepare reports on Medical Loss Ratios (MLRs) and financial reconciliations.
• Forecast budgets and develop models to predict cost and utilization trends.
• Ensure compliance with CMS and state audit standards.

What We’re Looking For

• Strong background in actuarial science, finance, or related field.
• Experience with Medicaid or healthcare financial analysis preferred.
• Proficiency in Excel and actuarial/financial tools (SAS, R, SQL).
• Ability to present complex data clearly to leadership and stakeholders.

Make an impact on healthcare in Iowa—apply today!

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a comprehensive benefits package designed to support your well-being and professional growth:

• Health, Dental, and Vision Coverage: Health and dental insurance packages to keep you and your family healthy at a low cost with outstanding coverage!
• Paid Time Off: Take time to recharge with paid time off, including vacation (96 hours/year to begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9 days/year).
• Retirement Plans: Participate in retirement plans such as IPERS (employees contribute 6.29% and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC), Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to $75/month).
• Flexible Spending Accounts: Take advantage of flexible spending accounts for medical and dependent care expenses.
• Insurance Coverage: Benefit from life insurance and free long-term disability insurance for added peace of mind.
• Employee Assistance Program: Access resources and support through our Employee Assistance Program for personal and professional challenges.
• Employee Discount Programs: Enjoy discounts on a variety of goods and services through our employee discount programs.

For additional information on benefits click here.

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Background Checks

Applicants will be required to complete a background check to be considered for this position.

The State of Iowa is an EEO/AA Employer

HHS values those with “lived experience” and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply.

Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD).

E-Verify and Right to Work
The State of Iowa participates in E-Verify, a federal program that helps employers confirm the employment eligibility of all newly hired employees. Within the required timeframe, new hires will be verified through the E-Verify system to ensure authorization to work in the United States. The State of Iowa also complies with the federal Right to Work laws, which protect employees’ rights to work without being required to join a labor organization. For more information, please visit www.e-verify.gov.

Qualifications

Graduation from an accredited college or university with major coursework in mathematics, statistics, or actuarial science and the experience equal to three years of full-time work conducting actuarial studies;an equivalent combination of education and experience substituting the equivalent of one year of qualifying experience for each year of the required education to a maximum substitution of four years;graduate level coursework in actuarial science or statistics may be substituted for up to one year of the required experience on the basis of 30 semester hours equals one year of experience;completion of each part of the casualty or life actuarial examination may be substituted for three months of the required experience with a maximum substitution of one year.

For additional information, please click on this link to view the job description.