Actuary – Medicaid & VBP; Seattle Health

Milliman's Seattle Health Practice is looking for an FSA with experience in health actuarial work with a focus on Value Based Payments (VBP) and government programs (Medicaid, Medicare). The position requires creative actuarial capabilities, good communication and interpersonal skills, and organizational talents. A high degree of self‑motivation and the ability to lead a team of dedicated consultants are also necessary for success.

We provide extensive on‑the‑job training in consulting skills and advanced actuarial techniques.

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.

• Perform analysis of healthcare data
• Interpret regulations
• Build financial models
• 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

Employees will be expected to develop the ability to manage 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
• 7+ years of healthcare actuarial experience, with at least four (4) years working in a consulting environment.
• Minimum of four (4) years experience with VBP, Medicaid, and Medicare.
• Minimum of two (2) years leading working in the Medicaid managed care environment or with state agencies managing Medicaid, including delegating work to and mentoring junior staff.
• Proficiency with Excel
• Some knowledge of SAS, SQL, or R
• Strong understanding of the US healthcare system
• Demonstrable skills in presenting technical concepts to a non‑technical audience in an understandable way

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

Individuals must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

This position is based out of the Milliman office in Seattle, WA, but remote candidates anywhere in the US will be considered. The expected Final date to receive applications for this job is May 29, 2026.

The overall salary range for this role is $103,500 - $242,650. A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

For candidates residing in:

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, Pennsylvania, Virginia, Washington, or the District of Columbia:
  • $119,025 - $214,820 if overall experience is less than 10 years; and
  • $134,435 - $242,650 for experience greater than 10
• All other states:
  • $103,500 - $186,800 if overall experience is less than 10 years; and
  • $116,900 - $211,000 for experience greater than 10

We offer a comprehensive benefits package designed to support employees’ health, financial security, and well‑being. Benefits include:

• 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…