Associate Actuary - Medicaid & VBP; Seattle Health

Description

Milliman's Seattle Health Practice is looking for an ASA 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.

• 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
• ASA 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 work 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 $88,800 - $208,380. A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, Pennsylvania, Virginia, Washington, or the District of Columbia:
  • $102,120 - $184,460 if overall experience is less than 10 years
  • $115,460 - $208,380 for experience greater than 10 years
• All other states:
  • $88,800 - $160,400 if overall experience is less than 10 years
  • $100,400 - $181,200 for experience greater than 10 years

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 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 12 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

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