Healthcare Associate Actuary – Provider & Value-Based Care (ASA)
for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real content.
We need to preserve all substantive info, no boilerplate, no navigation, no EEO, no application instructions (like upload resume). Also remove duplicated lines.
We need to decide sections: Could have "About the role" (intro description), "Responsibilities" (What You Will Do), "Requirements" (Professional Qualifications + Personal Qualifications maybe combined?), "Qualifications" maybe separate? But we can combine. The instruction: Use headings for section headings e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can choose which are appropriate.
We have content: description of role (first paragraph), "Who We Are" maybe about company but could be omitted? It's substantive but not required? It's about Milliman; could be part of About the role? Might be considered company overview. Could include as "About the role" or maybe separate "About Milliman". But only allowed headings list; we could put under "About the role". Or we could omit if not needed. But we must preserve ALL substantive information; cannot drop company overview. So we need to include it somewhere. Could put under "About the role" heading.
Responsibilities: "What You Will Do" bullet list.
Requirements: Professional Qualifications (bullet list) and Personal Qualifications (bullet list). Could combine under Requirements.
Skills: maybe list of technical skills: Excel expertise, SQL, Python, R, SAS, etc. Could be under Skills.
Benefits: list.
Pay: compensation range details.
Schedule: location remote, maybe schedule not given; we have location remote, but schedule not specified. Should we include Schedule? Only if posting actually states them. It does not state schedule (like full-time). It says full-time. That's schedule? It says full-time. Could be considered schedule. But we have location remote. Could include Schedule heading with "Full-time, remote". However the instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state full-time (implies schedule) and remote location. So we can include Schedule.
We must not include Job ID etc.
We must not include application instructions like "To be considered for this position, please upload a resume and cover letter. No recruiters, please." Remove that.
Also remove EEO boilerplate.
Now craft HTML.
We'll have:
About the role
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.
Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERGs) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site (https://www.milliman.com/en/social-impact) to learn more about Milliman's commitments to our people, inclusion, and sustainability. Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.
But note we should not include the link? It's okay to keep as part of prose. Now Responsibilities: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.
- 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.
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
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
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
Skills
- 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
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
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.
Pay
The overall salary range for this role is $88,800 - $184,460. For candidates residing in: Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia the range is $102,120 - $184,460. All other locations the range is $88,800 – $160,400. 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,