Jobs › RSM US

Health Actuary

RSM US · Remote · $112,100–$225,500 a year · Full time

Posted Sep 3, 2026 · We last checked this listing on Oct 6, 2026

Apply at RSM US

Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about your time in a state insurance department, a health insurer or a consulting firm. What did that work teach you about the other side?

What they are checking: Whether they understand both regulator and company perspectives, which makes them useful on regulatory engagements.

Tell me about a time you found an error in another actuary's work. How did you raise it?

What they are checking: Professional courage and tact when reviewing work as a consultant to regulators.

Which actuarial credentials do you hold or are working toward, and how have they shaped the work you do?

What they are checking: Commitment to professional development, which the posting lists as preferred.

What would you do

You are asked to do a special study on a topic you have not worked on before. How do you get up to speed?

What they are checking: Whether they can learn quickly and structure research projects on unfamiliar questions.

The project budget is nearly spent and you still have analysis left. What do you do?

What they are checking: Whether they raise budget issues early and look for ways to finish without cutting quality.

About the work

Tell me about your experience reviewing health insurance rate filings. What do you look at first?

What they are checking: Whether they know how to spot weak assumptions in rate filings, which is core to this consulting work.

How would you review a health insurer's IBNR reserves on a financial exam?

What they are checking: Command of claim reserve methods like completion factors and the judgment to question a company's estimate.

What makes a rate increase reasonable or unreasonable under ACA rate review rules?

What they are checking: Knowledge of the regulatory standards that state reviewers apply to individual and small group rates.

A company's medical loss ratio looks low compared to peers. How would you investigate?

What they are checking: Their ability to dig into MLR components and tell a real business result from a reporting problem.

How would you explain a trend assumption to a regulator who is not an actuary?

What they are checking: The ability to make actuarial reasoning understandable to people who must act on it.

Practice this interview out loud.

Offer builds a real interview for this exact role at RSM US from your resume and this job description, asks the questions one at a time, and tells you what landed. The first one is free.

Practice this out loud

The full job description

As published by RSM US.

We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. Actuary- Health Risk & Regulatory Consulting, LLC Position Overview As an Actuarial Consultant you will work with a team of industry professionals on regulatory consulting and other insurance industry engagements. This position has opportunity for advancement as well as personal and professional growth. Specific Duties and Responsibilities (Responsibilities may vary slightly depending on seniority level) Serve as health actuarial consultant on client engagements including; potential work on financial exams, rate filing reviews, special studies and research projects, adhere to project budget and timelines. Requirements • Bachelor's Degree in Mathematics, Actuarial Science, Economics, or Statistics; MBA and/or professional certification/s preferred • Minimum of 5+ years professional experience in a state insurance department, health insurance company, financial services or consulting firm • Prior consulting and/or regulatory experience is preferred • ASA, FSA, MAAA designations strongly preferred • Experience with Affordable Care Act (ACA) preferred, and ACA pricing is strongly preferred • Experience with Medicare Supplement products is preferred • Strong attention to detail with the ability to analyze complex information, identify inconsistencies, and produce accurate, high-quality work products. • Knowledge of actuarial concepts including: health rating, underwriting, financial modeling and analysis, risk management, pricing, and reinsurance. • Demonstrated intellectual curiosity and a proactive desire to learn, adapt, and develop expertise in new actuarial, regulatory, and industry topics. • PC skills, including experience in using software for producing presentations, spreadsheets, and project planning (skills in Visual Basic, MS Excel, R programming/R-Studio, Python and other applications are a plus) • Ability to communicate complex actuarial concepts clearly, concisely, and accurately to both technical and non-technical audiences. • Excellent organizational skills and the ability to prioritize multiple tasks, projects and assignments • Exceptional written communication skills, including the ability to prepare detailed, organized, and well-supported analyses, reports, and client deliverables. • Must be self-motivated and possess a sense of urgency with a Natural curiosity and eagerness to continuously learn, ask thoughtful questions, and expand knowledge of the health insurance and regulatory environment. • Ability to demonstrate ethical and professional standards as outlined by the Firm Risk & Regulatory Consulting, LLC (RRC), an affiliate of RSM, is a national, leading professional services firm dedicated to providing exceptional regulatory services to clients. RRC offers services in the following regulatory areas: financial examinations, market conduct examinations, insolvency and receiverships, actuarial services and valuations, investment analysis, reinsurance expertise, market analysis and compliance, and special projects. RRC is a results-oriented firm committed to success that builds long-term relationships with its clients. www.riskreg.com At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at https://rsmus.com/careers/working-at-rsm/benefits . All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at 800-274-3978 or send us an email at careers@rsmus.com . RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate. RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information. At RSM, an employee’s pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range. Compensation Range: $112,100 - $225,500 Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.

Apply at RSM US