[Hiring] Healthcare Consulting 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.
• Evaluate value-based contracts from the provider side.
• Model reimbursement and support rate negotiations with payers.
• Dig into 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 talking to clients directly.
• Draft client-facing material: emails, memos, decks, and reports written for CFOs and medical group leadership.
• Help write 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. That is not the initial focus of this role, but it is a natural next step and we will support you toward it.

Qualifications

• Bachelor's degree in actuarial science, math, statistics, economics, or something similarly quantitative.
• FSA designation.
• 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.
• 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 people who are not technical.
• Solid understanding of the US healthcare system.
• Experience working with detailed healthcare claims data.
• SQL, Python, R, or SAS.

Personal Qualifications

• Proactive and can anticipate what the analysis needs and what the client will ask next.
• Makes decisions and able to move work forward independently, while completing appropriate reviews with senior consultants.
• Clear writer and speaker.
• Works well alone and on teams.
• Steady in a fast-paced environment where client satisfaction is key.
• Entrepreneurial.

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.

The Team

Mountain Gulf Health serves healthcare providers, health plans, state and federal agencies, insurers, reinsurers, and employers. The practice includes over 50 actuarial professionals, along with healthcare consultants, administrative staff, and other non-actuarial personnel.

Our provider work covers CMS and CMMI program participation, value-based contract evaluation, capitation and bundled payment design, and payer contracting support. Clients range from large health systems to independent physician groups to ACO enablement companies. Provider work continues to grow, and this role adds to that team. You will have access to Milliman's healthcare data assets and modeling tools for client work. No prior experience with them is expected.

You will be working with some of the most experienced people in the health industry. Our manager program pairs you with a colleague to help guide your career growth.

Location

This is a remote position. Candidates hired into this role may work onsite in select Milliman office locations, if they prefer. The expected application deadline for this job is December 31, 2026.

Compensation

The overall salary range for this role is $103,500 - $214,820. For candidates residing in:

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia: $119,025 – 214,820.
• All other locations: $103,500 - $186,800.

A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

Employees are also eligible for a bonus under our standard bonus policy. A paid bonus is dependent on billable hours worked by and work managed by the employee. Actual bonuses vary widely based on desired and completed workload, but routinely exceed 25% of base salary.

To be considered for this position, please upload a resume and cover letter. No recruiters, please.

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 employees who meet eligibility criteria.
• 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.