Healthcare Associate Actuary – Provider & Value-Based Care (ASA)

Milliman•Denver, CO

5d•Remote

About The Position

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.

Requirements

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.
SQL, Python, R, or SAS.
Proactive and able to anticipate analysis needs and client questions.
Ability to make decisions and move work forward independently, while completing appropriate reviews with senior consultants.
Clear writer and speaker.
Ability to work well alone and on teams.
Ability to remain steady in a fast-paced environment where client satisfaction is key.
Entrepreneurial mindset.

Nice To Haves

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.

Responsibilities

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 how risk and reward are distributed 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 direct client communication.
Draft client-facing material such as emails, memos, decks, and reports 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.
Take on client relationships and lead business development as careers grow (this is a natural next step and will be supported).

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.