Healthcare Consulting Actuary – Provider & Value-Based Care (FSA)

About the role

Milliman's Mountain Gulf Health Practice seeks a Healthcare Actuary to work full‑time with provider clients, supporting health systems, physician groups, and ACO enablers taking on risk under value‑based payment models. The role requires technical strength, sound judgment, self‑direction, and the ability to explain analysis to non‑technical leadership. Extensive on‑the‑job training in consulting skills and advanced actuarial techniques is provided.

Responsibilities

• Model provider performance under MSSP, ACO REACH, and LEAD: benchmark projection, attribution, risk score dynamics, savings and loss estimation, 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 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: scoping, budgets, delegating technical work to analysts and students, holding timelines, talking to clients directly.
• Draft client‑facing material: 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.

Requirements

• Bachelor's degree in actuarial science, math, statistics, economics, or another quantitative field.
• FSA designation.
• Five to eight years of 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, or 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.
• Experience managing projects: scoping, budget, delegation, timelines, client contact.
• Ability to explain technical work to non‑technical audiences.
• Solid understanding of the US healthcare system.
• Experience working with detailed healthcare claims data.

Skills

• Excel expertise.
• Proficiency in SQL, Python, R, or SAS.

Qualifications

• Pro