[Hiring] Healthcare Associate Actuary @Milliman

Role Description

Milliman's Mountain Gulf Health Practice is seeking a Healthcare Actuary to work full-time with provider clients. You'd be supporting health systems, physician groups, and ACO enablers who are taking on risk under various value-based payment models.

You need to be technically strong and have sound judgment about which analysis answers the question client leadership is asking, then explain it in a way that is clear and supports decision making. You will also need to be self-directed. We provide extensive on-the-job training in consulting skills and advanced actuarial techniques.

What You Will Do

• Model provider performance under MSSP, ACO REACH, and LEAD, including benchmark projection, attribution, risk score dynamics, savings and loss estimation, and scenario testing across risk tracks.
• Evaluate value-based contracts from the provider side, including shared savings and downside risk, global and primary care capitation, episode and bundled payments, and distribution of risk and reward downstream.
• Model reimbursement and support rate negotiations with payers.
• Analyze claims, enrollment, and CMS data to answer questions about utilization, cost drivers, risk adjustment, and network performance.
• Run projects, including scoping, budgets, delegating technical work to analysts and students, holding timelines, and client communication.
• Draft client-facing materials such as emails, memos, decks, and reports for CFOs and medical group leadership.
• Assist in writing proposals alongside a senior consultant.
• Support other types of clients and projects in the practice as needed.
• As careers grow at Milliman, consultants take on their own client relationships and lead business development.

Qualifications

• Bachelor's degree in actuarial science, math, statistics, economics, or a similarly quantitative field.
• ASA designation, working towards FSA.
• Five to eight years in healthcare actuarial work, with a solid understanding of provider perspectives.
• Hands-on knowledge of at least one CMS or CMMI total cost of care program (MSSP, ACO REACH, Primary Care First, a bundled payment model).
• Experience building benchmarks for CMS/CMMI programs and/or other risk-based arrangements.
• Experience with attribution methodologies.
• Familiarity with provider reimbursement: fee schedules, capitation, case rates, episode payments.
• Excel expertise.
• Experience managing projects: scoping, budget, delegation, timelines, client contact.
• Ability to explain technical work to non-technical individuals.
• Solid understanding of the US healthcare system.
• Experience working with detailed healthcare claims data.
• Proficiency in SQL, Python, R, or SAS.

Personal Qualifications

• Proactive and able to anticipate analysis needs and client inquiries.
• Decision-maker who can move work forward independently while completing appropriate reviews with senior consultants.
• Clear writer and speaker.
• Works well independently and in teams.
• Steady in a fast-paced environment where client satisfaction is key.
• Entrepreneurial spirit.

Preferred Qualifications

• Experience with CMS claim and claim line feed (CCLF) data.
• Experience modeling participation decisions across CMS and CMMI programs.
• Experience supporting payer contract negotiations.
• Experience drafting proposals or client reports.

Benefits

• Medical, Dental and Vision — Coverage for employees, dependents, and domestic partners.
• Employee Assistance Program (EAP) — Confidential support for personal and work-related challenges.
• 401(k) Plan — Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program — Recognizing employee contributions.
• Flexible Spending Accounts (FSA) — Pre-tax savings for dependent care, transportation, and eligible medical expenses.
• Paid Time Off (PTO) — Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
• Holidays — A minimum of 10 paid holidays per year.
• Family Building Benefits — Includes adoption and fertility assistance.
• Paid Parental Leave — Up to 11 weeks of paid leave for eligible employees.
• Life Insurance & AD&D — 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability — Fully paid by Milliman.

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.