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

Milliman•Denver, CO

6d•$88,800 - $184,460•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 something similarly quantitative
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 people who are not technical
Solid understanding of the US healthcare system
Experience working with detailed healthcare claims data
SQL, Python, R, or SAS

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. That means benchmark projection, attribution, risk score dynamics, savings and loss estimation, and scenario testing across risk tracks.
Evaluate value-based contracts from the provider side: shared savings and downside risk, global and primary care capitation, episode and bundled payments, and how risk and reward get distributed downstream.
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. Scoping, budgets, delegating technical work to analysts and students, holding timelines, talking to clients directly.
Draft the 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.

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.