Actuarial Manager; FSA; Medicare​/Provider VBP; CMH Health

Individual(s) 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.

Milliman's CMH Health Practice is seeking a credentialed Actuarial Manager with strong Medicare experience who will serve in a client-facing role, manage junior staff, and help us capitalize on major growth opportunities in provider value-based payment (VBP) consulting. This role sits within our rapidly growing Provider VBP Enablement vertical, advising health systems, physician groups, and Accountable Care Organizations (ACOs) on Medicare shared savings, risk adjustment, total cost of care benchmarking, and related financial strategy.

Actuarial Managers work in a wide variety of areas within the healthcare industry while working alongside some of the leading experts in the field.

Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues, from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry.

• Serve as credible client-facing actuary on complex Medicare advisory work, including provider VBP, ACO strategy, and Medicare Advantage engagements
• Advise health systems, physician groups, and ACOs on Medicare Shared Savings Program (MSSP) performance, total cost of care (TCOC) benchmarking, and risk adjustment
• Support emerging ACO program opportunities, including the CMS LEAD (Long Term Enhanced ACO Design) model and other CMMI innovation programs
• Manage and direct professional and senior professional staff on client engagements
• Lead work streams independently, freeing senior team members to focus on business development and strategic oversight
• Provide quality review and mentoring to junior staff
• Perform data analysis using Excel, SAS, Python, SQL, and proprietary Milliman programs to assist with consulting for various health insurance work areas (Medicare, Commercial / ACA, Medicaid, Long Term Care, Pharmacy, Provider, and more)
• Support financial modeling for ACO performance evaluation, risk adjustment strategy, and shared savings projections
• Responsible for reviewing the work of others and assisting with research and product development
  
  Responsible for training and coaching professional staff
• Responsible for several projects simultaneously, providing insight into the technical direction of each project, verifying the initial reasonableness of the solution, and creating client communications for review by Consultants

• Bachelor's or Master's degree in a quantitative field (Bachelor's degree is required)
• 7+ years of full-time actuarial experience, primarily working with Medicare programs (Medicare experience is required – either Medicare Advantage (MA) or Accountable Care Organization (ACO) work)
• FSA designation with the Society of Actuaries (SOA)
• Strong analytical and communication skills with the ability to interact directly with clients
• Demonstrated ability to manage and mentor junior staff
• Thorough understanding of Microsoft Excel and actuarial concepts

• Openness and enthusiasm for using AI and large language model (LLM) tools to enhance productivity and consulting workflows
• Intellectual curiosity and a motivation to learn new domains, methods, and technologies
• Experience working with Python, SQL, SAS, VBA, or other coding/data analytics languages
• Experience mentoring staff and managing projects
• Strong communication skills…