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 (Leveraging Efficiency And Driving-quality) model and other CMMI innovation programs.
Manage and direct professional and senior professional staff on client engagements.
Lead workstreams 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).
4–7 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 (both verbal and written).
Ability to help identify client issues and resources needed to solve problems.
Analytical thinking skills to evaluate analyses for communication to clients.
Ability to help plan and organize work for projects.
Identify project deliverables, meet deadlines, and ensure compliance with quality procedures.
Strong time management skills.
Ability to work independently and within a team.
Client focused and results oriented.
Organizational expertise and flexibility.
Ambition and excitement for professional development within the actuarial field.

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 observed 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.

Actuarial Manager, FSA – Medicare / Provider VBP

Key skills