Actuarial Manager (FSA) - Medicare / Provider VBP (CMH Health)

Milliman•Brookfield, WI

7h•Hybrid

About The Position

Milliman's CMH Health Practice is seeking a credentialed Actuarial Manager with strong Medicare experience who will serve in a client-facing role, manage junior staff, and help us capitalize on major growth opportunities in provider value-based payment (VBP) consulting. This role sits within our rapidly growing Provider VBP Enablement vertical, advising health systems, physician groups, and Accountable Care Organizations (ACOs) on Medicare shared savings, risk adjustment, total cost of care benchmarking, and related financial strategy. Actuarial Managers work in a wide variety of areas within the healthcare industry while working alongside some of the leading experts in the field. Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues—from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry.

Requirements

Bachelor's or Master's degree in a quantitative field (Bachelor's degree is required)
4–7 years of full-time actuarial experience, primarily working with Medicare programs (Medicare experience is required – either Medicare Advantage (MA) or Accountable Care Organization (ACO) work)
FSA designation with the Society of Actuaries (SOA)
Strong analytical and communication skills with the ability to interact directly with clients
Demonstrated ability to manage and mentor junior staff
Thorough understanding of Microsoft Excel and actuarial concepts

Nice To Haves

Openness and enthusiasm for using AI and large language model (LLM) tools to enhance productivity and consulting workflows
Intellectual curiosity and a motivation to learn new domains, methods, and technologies
Experience working with Python, SQL, SAS, VBA, or other coding/data analytics languages
Experience mentoring staff and managing projects
Strong communication skills (both verbal and written)
Ability to help identify client issues and resources needed to solve problems
Analytical thinking skills to evaluate analyses for communication to clients
Ability to help plan and organize work for projects
Identify project deliverables, meet deadlines, and ensure compliance with quality procedures
Strong time management skills
Ability to work independently and within a team
Client focused and results oriented
Organizational expertise and flexibility
Ambition and excitement for professional development within the actuarial field

Responsibilities

Serve as credible client-facing actuary on complex Medicare advisory work, including provider VBP, ACO strategy, and Medicare Advantage engagements
Advise health systems, physician groups, and ACOs on Medicare Shared Savings Program (MSSP) performance, total cost of care (TCOC) benchmarking, and risk adjustment
Support emerging ACO program opportunities, including the CMS LEAD (Leveraging Efficiency And Driving-quality) model and other CMMI innovation programs
Manage and direct professional and senior professional staff on client engagements
Lead workstreams independently, freeing senior team members to focus on business development and strategic oversight
Provide quality review and mentoring to junior staff
Perform data analysis using Excel, SAS, Python, SQL, and proprietary Milliman programs to assist with consulting for various health insurance work areas (Medicare, Commercial / ACA, Medicaid, Long Term Care, Pharmacy, Provider, and more)
Support financial modeling for ACO performance evaluation, risk adjustment strategy, and shared savings projections
Responsible for reviewing the work of others and assisting with research and product development
Responsible for training and coaching professional staff
Responsible for several projects simultaneously, providing insight into the technical direction of each project, verifying the initial reasonableness of the solution, and creating client communications for review by Consultants

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 observed holidays per year.
Family Building Benefits – Includes adoption and fertility assistance.
Paid Parental Leave – Up to 12 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.