Principal Lead Health Actuary Consultant
Posted Oct 1, 2026 · We last checked this listing on Oct 6, 2026
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 a junior analyst whose work you reviewed and found real problems in. How did you handle it?
What they are checking: Whether they catch errors and coach people, which the posting puts at the center of this role.
Tell me about a time you were the main financial contact for a difficult client.
What they are checking: Whether they can manage a demanding relationship while keeping the work accurate.
How do you explain a complex projection to an HR leader with no actuarial background?
What they are checking: Whether they can translate technical results into decisions a client can make.
What would you do
How do you negotiate a fully insured renewal with a carrier when you think their rate is too high?
What they are checking: Whether they can use data and market leverage to get a better result for the client.
A client wants to cut costs without hurting employees. What plan design options would you bring?
What they are checking: Whether they can offer practical trade-offs that balance cost and employee experience.
About the work
Walk me through how you build a renewal projection for a self-funded employer health plan.
What they are checking: Whether they understand experience, trend, large claims and credibility well enough to defend a number to a client.
A client's medical costs jumped twelve percent this year. How do you figure out what drove it?
What they are checking: Whether they separate trend, utilization, high-cost claimants and plan changes rather than blaming inflation.
How would you help a client decide whether to move from fully insured to self-funded?
What they are checking: Whether they can weigh risk tolerance, stop-loss, cash flow and size honestly rather than pushing one answer.
Which tools do you use for cost projections, such as Excel or SAS, and how do you make your models reviewable?
What they are checking: Whether they build analysis that others can check and trust.
How do GLP-1 drugs and specialty pharmacy change the way you project costs for employers?
What they are checking: Whether they keep up with current cost drivers that have a big effect on employer plans.
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Practice this out loudThe full job description
As published by Marsh McLennan.