Senior Healthcare Quality Consultant - Medicare; Seattle Health

Senior Healthcare Quality Consultant - Medicare (Seattle Health)

Job Category: Consultant (Non-Actuarial)

Requisition Number: SENIO
010708

• Posted :
  September 22, 2026
• Full-Time
• Remote

Showing 1 location

01-Seattle
Seattle, WA , USA

This role is a senior consultant within Milliman’s growing Medicare quality and Star Rating practice, supporting both client engagements and the Milliman Star Rating Market Intelligence product. The successful candidate will bring deep expertise in Medicare Advantage Star Ratings, health plan quality operations, and performance improvement, including significant experience with CAHPS, HOS and member experience.

The position combines senior client advisory work with leadership of complex consulting engagements, mentorship of consulting staff, and business development, as well as an active role in developing and expanding Milliman’s Medicare quality and Star Rating consulting capabilities.

About Our Practice

Milliman’s Seattle Health Practice partners with a broad spectrum of organizations, including insurance companies, health plans, government agencies, healthcare providers, reinsurers, Accountable Care Organizations (ACOs), health technology firms, and employers. Our team includes over 180 actuarial professionals, supported by expert consultants, IT specialists, and dedicated operations staff.

Join Milliman and collaborate with some of the most accomplished professionals in the health industry. Our mentor program ensures you have a dedicated colleague to guide your career growth, providing the support and resources you need to thrive. For motivated candidates, this is an exceptional opportunity to advance professionally while making a meaningful impact in healthcare.

What You Will Do

In this role, you will:

• Serve as a senior consultant advising Medicare Advantage organizations on Star Ratings strategy, quality improvement and operational performance.
• Lead consulting engagements focused on CAHPS, HOS and member experience, including assessment of performance drivers, development of improvement strategies, and design and implementation of targeted interventions.
• Advise clients across the broader Medicare Star Ratings program, translating measure performance and regulatory changes into operational priorities and actionable improvement plans.
• Work across health plan functions, including quality, member experience, clinical operations, provider engagement, pharmacy, customer service, analytics, and executive leadership, to identify and address barriers to performance.
• Develop and strengthen governance structures, workplans, performance monitoring approaches, and accountability processes that support sustained quality improvement.
• Combine quantitative analysis with operational knowledge to interpret quality performance and identify practical opportunities for improvement.
• Contribute subject matter expertise to Milliman research, analytics, and thought leadership related to Medicare quality, CAHPS, HOS, and Star Ratings.
• Help expand Milliman's Medicare quality and Star Ratings consulting capabilities, including new service offerings and client solutions.
• Mentor consultants, providing informal guidance and knowledge-sharing without formal management responsibility.
• Participate in business development activities, including identifying opportunities and contributing to proposals for prospective and existing clients.

What We’re Looking For

Professional Qualifications

• 7+ years of healthcare quality, Medicare Advantage, health plan operations, or related experience, including substantial experience focused on Medicare Advantage Star Ratings.
• Demonstrated experience developing and implementing quality improvement strategies and interventions, rather than solely measuring or…