Healthcare Associate Actuary – Provider & Value-Based Care (ASA) at Milliman in Denver, CO

Job description

• Milliman's Mountain Gulf Health Practice is seeking a Healthcare Actuary to work full-time with provider clients. You'd be supporting health systems, physician groups, and ACO enablers who are taking on risk under various value-based payment models.
• You need to be technically strong and have sound judgment about which analysis answers the question client leadership is asking, then explain it in a way that is clear and supports decision making. You will also need to be self-directed. We provide extensive on-the-job training in consulting skills and advanced actuarial techniques.

Responsibilities

• Model provider performance under MSSP, ACO REACH, and LEAD. That means benchmark projection, attribution, risk score dynamics, savings and loss estimation, and scenario testing across risk tracks.
• Evaluate value-based contracts from the provider side: shared savings and downside risk, global and primary care capitation, episode and bundled payments, and how risk and reward get distributed downstream.
• Model reimbursement and support rate negotiations with payers.
• Dig into claims, enrollment, and CMS data to answer questions about utilization, cost drivers, risk adjustment, and network performance.
• Run projects. Scoping, budgets, delegating technical work to analysts and students, holding timelines, talking to clients directly.
• Draft the client-facing material: emails, memos, decks, and reports written for CFOs and medical group leadership.
• Help write proposals alongside a senior consultant.
• Support other types of clients and projects in the practice, as needed.
• As careers grow at Milliman, consultants take on their own client relationships and lead business development. That is not the initial focus of this role, but it is a natural next step and we will support you toward it.

Requirements

• Bachelor's degree in actuarial science, math, statistics, economics, or something similarly quantitative
• ASA designation, working towards FSA
• Five to eight years in healthcare actuarial work, with a solid understanding of provider perspectives
• Hands-on knowledge of at least one CMS or CMMI total cost of care program (MSSP, ACO REACH, Primary Care First, a bundled payment model).
• Experience building benchmarks for CMS/CMMI programs and/or other risk-based arrangements
• Experience with attribution methodologies
• Familiarity with provider reimbursement: fee schedules, capitation, case rates, episode payments
• Excel expertise
• Experience managing projects: scoping, budget, delegation, timelines, client contact
• Ability to explain technical work to people who are not technical
• Solid understanding of the US healthcare system
• Experience working with detailed healthcare claims data
• SQL, Python, R, or SAS
• Proactive and can anticipate what the analysis needs and what the client will ask next.
• Makes decisions and able to move work forward independently, while completing appropriate reviews with senior consultants
• Clear writer and speaker
• Works well alone and on teams
• Steady in a fast-paced environment where client satisfaction is key
• Entrepreneurial
• Experience with CMS claim and claim line feed (CCLF) data
• Experience modeling participation decisions across CMS and CMMI programs
• Experience supporting payer contract negotiations
• Experience drafting proposals or client reports
• 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.

Skills

Required

• Excel expertise
• SQL, Python, R, or SAS
• Project management skills

Benefits

• 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 11 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.
• The overall salary range for this role is $88,800 - $184,460. For candidates residing in:
• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia the range is $102,120 - $184,460.
• All other locations the range is $88,800 – $160,400.
• A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.
• Employees are also eligible for a bonus under our standard bonus policy. A paid bonus is dependent on billable hours worked by and work managed by the employee. Actual bonuses vary widely based on desired and completed workload, but routinely exceed 25% of base salary.
• To be considered for this position, please upload a resume and cover letter.
• No recruiters, please.