Medicaid Actuary; FSA

Job Title

Medicaid Actuary (FSA)

Milliman’s Mountain Gulf Health Practice seeks an FSA with health actuarial work and specialized Medicaid experience. The role requires creative actuarial capabilities, strong communication, organizational talent, and the ability to lead a dedicated consultant team.

• Perform analysis of healthcare data
• Write reports that explain technical concepts clearly to a non‑technical audience
• Manage projects through completion within an expected budget
• Supervise actuarial students and less‑experienced actuaries in the completion of technical aspects of actuarial projects
• Develop client relationships and successfully generate new business with both new and existing clients

• Bachelor’s degree in mathematics, statistics, economics, or a related field
• FSA designation
• Seven to twelve years of healthcare actuarial experience, with meaningful Medicaid experience (capitation rate development, risk scores, state‑perspective revenue mechanisms)
• Proficiency with Excel
• Some knowledge of SAS, SQL, or R
• Strong understanding of the U.S. healthcare system and Medicaid in particular
• Demonstrable skills in presenting technical concepts to a non‑technical audience in an understandable way
• Superior problem‑solving capabilities and desire to learn
• Spanish language skills desired but not required

• Excellent communication, both verbal and written
• Ability to work independently and in team environments
• Proven ability to work in a fast‑paced environment where client satisfaction is key
• Drive to grow, learn, and build a bright career
• Entrepreneurial spirit

This position is fully remote. Remote candidates anywhere in the U.S. will be considered. The job posting is expected to close on March 1, 2026.

The overall salary range for this role is $103,500 – $242,650. State‑tier breakdowns:

• All other states:
  $103,500 – $186,800 if overall experience is less than 10 years; $116,900 – $211,000 for experience greater than 10 years.
• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or D.C.:
  $119,025 – $214,820 if overall experience is less than 10 years; $134,435 – $242,650 for experience greater than 10 years.

• 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 – 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) – Accrues from the first day of work (15 days per year for full‑time employees; prorated for part‑time)
• Holidays – Minimum of 10 observed holidays per year
• Family Building Benefits – Adoption and fertility assistance
• Paid Parental Leave – Up to 12 weeks for eligible employees
• Life Insurance & AD&D – 100% of premiums covered by Milliman
• Short‑Term and Long‑Term Disability – Fully paid by Milliman

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran. The position is open to U.S. residents only.