Remote Actuary: Provider & Value-Based Care Consultant

Milliman Ireland; Denver, Northern (CO, KY); Hybrid; USD 104,000 - 215,000; Full time

Benefits offered by this job

Medical, Dental and Vision

401(k) Plan

Paid Time Off

Holidays

Life Insurance & AD&D

Discretionary Bonus Program

Job summary

Milliman's Mountain Gulf Health Practice is seeking a Healthcare Actuary to work full-time with provider clients, supporting health systems, physician groups, and ACO enablers tackling risk under MSSP, ACO REACH, and LEAD.

You will need to be technically strong and able to explain analyses clearly to client leadership. We provide extensive on-the-job training in consulting skills and advanced actuarial techniques.

Qualifications

• Bachelor’s degree in actuarial science or related field.
• 5–8 years in healthcare actuarial work.
• Experience with CMS/CMMI programs.
• Excel expertise and claims data experience.
• Ability to explain technical work to non-technical audiences.

Responsibilities

• Model provider performance under MSSP, ACO REACH, and LEAD.
• Evaluate value-based contracts from the provider side.
• Model reimbursement and support rate negotiations.
• Dig into claims, enrollment, and CMS data for insights.
• Run projects with scoping, budgets, and timelines.
• Draft client-facing emails, memos, decks, and reports.
• Help write proposals with a senior consultant.
• Support other client projects as needed.

Skills

CMS/CMMI programs

Excel

Project management

SQL

Python

R

SAS

Attribution methods

Provider reimbursement

Healthcare claims data

Education

Bachelor's degree in actuarial science or related field

Job description

Milliman's Mountain Gulf Health Practice is seeking a Healthcare Actuary to work full-time with provider clients, supporting health systems, physician groups, and ACO enablers tackling risk under MSSP, ACO REACH, and LEAD.

You will need to be technically strong and able to explain analyses clearly to client leadership. We provide extensive on-the-job training in consulting skills and advanced actuarial techniques.