• Lead actuarial engagements for state Medicaid agencies and other public health clients. • Design and oversee encounter data analytics, validating completeness and accuracy, producing utilization trend analyses, and reconciling encounter to financial data for managed care oversight. • Develop and certify Medicaid managed care capitation rates that are actuarially sound, including risk adjustment methodologies. • Develop and apply risk scoring methodologies to support capitation rate rebalancing, including calculation of individual risk scores and risk-adjusted settlements. • Conduct financial analyses and modeling for HCBS, LTSS, and PACE programs. • Provide strategic guidance on program design, waiver development and submission support, and value-based payment models. • Support federal authority activities, including cost-effectiveness and budget-neutrality analyses for 1915(b)/(c) and 1115 waivers, state plan amendments, directed payments, and provider tax programs. • Conduct ad hoc fiscal and policy impact analyses, including rate modifications, hospital rebasing, UPL/GME payments, and pay-for-performance calculations. • Collaborate with multidisciplinary teams including underwriters, policy experts, data analysts, health economists, and clinical consultants. • Present complex actuarial findings to clients, stakeholders, and regulatory bodies in a clear and actionable manner. • Mentor junior actuarial staff and contribute to professional development initiatives. • Stay current with federal and state regulations, CMS guidance, and emerging trends in commercial and public health programs.