Actuarial Manager – Medicare, Provider VBP

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🔥 4 minutes ago

🦌 Connecticut, Illinois, +1 more states – Remote

🦌 Connecticut – Remote 🌽 Illinois – Remote 🧀 Wisconsin – Remote

💵 $103.5k - $214.8k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📊 Actuary

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Milliman

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1947

🏥 Healthcare

🛡️ Insurance

💼 Consulting

Healthcare • Insurance • Consulting

Milliman is an independent global actuarial and consulting firm founded in 1947 that provides expertise in insurance, healthcare, retirement and employee benefits, risk management, and related financial services. The firm combines actuarial rigor, data science, and technology to deliver consulting, modeling, software, and advisory solutions to public- and private-sector clients addressing challenges such as healthcare costs, market volatility, climate risk, and program design. Milliman operates worldwide with multidisciplinary teams including actuaries, data scientists, clinicians, and software engineers.

📋 Description

• Serve as a 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 performance, total cost of care benchmarking, and risk adjustment • Support emerging ACO program opportunities, including the CMS LEAD model and other CMMI innovation programs • Manage and direct professional and senior professional staff on client engagements • Lead workstreams independently and provide technical direction • Perform quality review and mentor junior staff • Analyze data using Excel, SAS, Python, SQL, and proprietary Milliman programs • Support financial modeling for ACO performance evaluation, risk adjustment strategy, and shared savings projections • Review others' work and assist with research and product development • Train and coach professional staff • Manage several simultaneous projects, verify solution reasonableness, and create client communications for consultant review • Coordinate with consultants, managers, and analysts to deliver client reports and deliverables

🎯 Requirements

• Bachelor's degree in a quantitative field is required; Master's degree also accepted • 7+ years of full-time actuarial experience • Primary experience working with Medicare programs, including Medicare Advantage or Accountable Care Organization work • FSA designation with the Society of Actuaries (SOA) • Strong analytical and communication skills with direct client interaction ability • 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 tools • Experience with Python, SQL, SAS, VBA, or other coding/data analytics languages • Experience mentoring staff and managing projects • Ability to identify client issues and resources needed to solve problems • Analytical thinking to evaluate analyses for client communication • Ability to plan and organize project work • Ability to identify deliverables, meet deadlines, and comply with quality procedures • Strong time management skills • Ability to work independently and within a team • Client-focused and results-oriented • Organizational expertise and flexibility • Legal authorization to work in the United States without current or future immigration support or sponsorship

🏖️ Benefits

• Medical, Dental and Vision coverage for employees, dependents, and domestic partners • Employee Assistance Program (EAP) • 401(k) Plan with company matching and profit-sharing contributions • Discretionary Bonus Program • Flexible Spending Accounts (FSA) • Paid Time Off (PTO), with full-time employees accruing 15 days per year • Minimum of 10 observed holidays per year • Family Building Benefits, including adoption and fertility assistance • Up to 11 weeks of paid parental leave for eligible employees • Life Insurance & AD&D, with 100% of premiums covered by Milliman • Short-Term and Long-Term Disability, fully paid by Milliman