Sr. Government Health Actuary
Posted Sep 30, 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 time you guided a junior staff member through a difficult client interaction.
What they are checking: Mentoring in client handling, which the role names as a daily responsibility.
Why do you want to work on Medicaid programs specifically?
What they are checking: Real motivation for public programs that serve vulnerable communities, the practice's stated mission.
How are you using AI or newer tools in your actuarial work today?
What they are checking: Comfort with technology-enabled tools, which the posting says the team embraces.
What would you do
A state client asks for a lower rate to fit its budget, but your analysis does not support it. How do you respond?
What they are checking: Professional independence and honest advice when budget pressure conflicts with soundness.
Health plans dispute your draft rates in a stakeholder meeting. How do you handle it?
What they are checking: Composure and clarity when defending analysis to parties with competing interests.
How do you explain a rate change to a state legislator's staff who have no actuarial background?
What they are checking: Whether they can explain rates in plain language to a public, political audience without losing accuracy.
About the work
Walk me through how you would develop capitation rates for a Medicaid managed care program.
What they are checking: Command of base data, trend, program changes, administrative loads and actuarial soundness requirements.
What does actuarial soundness mean under federal Medicaid managed care rules, and how do you document it?
What they are checking: Knowledge of CMS requirements and the rate certification that goes with them.
How would you price a new benefit, like expanded behavioral health services, with little historical data?
What they are checking: Practical approaches using other states' data, assumptions and clear documentation of uncertainty.
How do risk adjustment and acuity adjustments work across health plans in a Medicaid program?
What they are checking: Understanding of how payments are shifted to reflect plan populations fairly.
How do you review a pricing model built by someone else to make sure it is used correctly?
What they are checking: Careful review habits on existing tools, which the role relies on heavily.
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Practice this out loudThe full job description
As published by Marsh McLennan.