Sr. 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 time you found an error in a junior analyst's work before it reached the client.
What they are checking: Review discipline and how they coach rather than just correct.
Tell me about a time you presented a difficult financial result to a client's CFO.
What they are checking: Clear, calm communication of bad news to a senior financial audience.
How do you develop analysts and associates so they grow toward your level?
What they are checking: Leadership and investment in team growth, which the role expects.
What would you do
A carrier's renewal comes in at 14 percent and your projection says 8 percent. How do you handle the negotiation?
What they are checking: Using actuarial evidence to push back on a carrier's assumptions effectively.
How would you help a client decide between carriers when one is cheaper but has a weaker network?
What they are checking: Weighing price against access and disruption, not just choosing the lowest bid.
About the work
Walk me through an IBNP valuation for a self-funded employer. What can make it go wrong?
What they are checking: Command of completion factors, lag patterns and the effect of large claims or processing changes.
How do you project next year's health plan costs for a 10,000-life employer?
What they are checking: Clear method for base experience, trend, plan changes, large claim pooling and credibility.
How do you set employee contributions so they are affordable and still meet the employer's budget?
What they are checking: Balancing cost sharing, tiers, affordability rules and employee impact.
How do you evaluate a well-being initiative's financial impact without overstating it?
What they are checking: Honest measurement and awareness of selection bias in wellness program results.
What part of plan design optimization do clients most misunderstand?
What they are checking: Depth of plan design knowledge and the ability to explain tradeoffs in plain terms.
How are you using AI or technology tools to speed up actuarial work while protecting accuracy?
What they are checking: Whether they modernize their work with new tools while keeping strong checks on actuarial soundness.
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As published by Marsh McLennan.