Jobs › Marsh McLennan

Sr. Government Health Actuary

Marsh McLennan · Chicago, IL · $93,500–$187,000 a year · Full time

Posted Sep 30, 2026 · We last checked this listing on Oct 6, 2026

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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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The full job description

As published by Marsh McLennan.

Company: Mercer Description: We are seeking a talented individual to join our Government Healthcare Consulting team at Marsh. Marsh Government Healthcare Consulting (GHC) practice has touched more than 60 million lives since our inception in 1985, working with state Medicaid agencies to transform Medicaid programs to better serve our most vulnerable communities. Our nearly 700 specialists provide comprehensive services including actuarial and financial, clinical and behavioral health, pharmacy, policy, and more. Sr. Government Health Actuary We will count on you to: • Participate in routine client engagements, managing overall service delivery and strategy, financial evaluations, plan design, and more • Draft and review client reports and presentations to summarize findings and implications, and recommend strategies and solutions to the client • Thrive and be motivated by an environment that embraces AI and technology-enabled tools. • Perform and review complex analyses and cost projects by using or modifying existing tools and pricing models, and review analyses conducted by junior staff to ensure actuarial soundness and correct use of models • Handle day-to-day client contact and management, resolving any project-related questions and challenges, and guide junior staff members in client interactions • Assist senior team members in the development of the business by identifying potential areas of growth in existing projects, and provide assistance in responding to requests for information or proposals What you need to have: • BA/BS degree • 5+ years health actuarial experience, with 3+ years of Medicaid leadership actuarial experience • Ability to handle client and project management in a demanding work environment with tight deadlines What makes you stand out? • Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience • Actuarial credentials (ASA, FSA, or MAAA) • Experience related to health plan analysis or capitated rate development Why join our team: • We help you be your best through professional development opportunities, interesting work, and supportive leaders. • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow us on LinkedIn and X. Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@marsh.com. Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person. The applicable base salary range for this role is $93,500 to $187,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

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