Remote Healthcare Actuary: Value-Based Care & Providers

Acturhire; Denver (CO); Hybrid; USD 104,000 - 187,000; Full time

Benefits offered by this job

Medical, Dental and Vision

401(k) Plan

Discretionary Bonus Program

PTO and holidays

Life Insurance & AD&D

Job summary

Milliman Mountain Gulf Health is seeking a Healthcare Actuary for a full-time, remote role supporting provider clients across MSSP, ACO REACH, and LEAD programs. The job emphasizes strong technical analysis, clear communication, and self-direction within a high-caliber consulting team.

Ideal candidates have a robust actuarial background, experience with CMS/CMMI programs, and proven project management skills.

Qualifications

• Bachelor's degree in actuarial science, math, statistics, economics
• FSA designation
• 5–8 years in healthcare actuarial work
• Experience with CMS/CMMI total cost of care programs (MSSP, ACO REACH, Primary Care First)
• 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 non-technical audiences
• Solid understanding of the US healthcare system
• Experience working with detailed healthcare claims data
• SQL, Python, R, or SAS

Responsibilities

• Model provider performance under MSSP, ACO REACH, and LEAD with benchmark projection and risk scoring
• Evaluate value-based contracts from the provider side
• Model reimbursement and support rate negotiations with payers
• Analyze claims, enrollment, and CMS data for utilization and cost drivers
• Manage projects with scoping, budgets, timelines, and client communication
• Draft client-facing materials and proposals
• Support other types of clients and projects as needed

Skills

Communication

Self-direction

Client communication

Team collaboration

Education

Bachelor's degree in actuarial science/math/statistics/economics

FSA designation

Tools

SQL

Python

R

SAS

Excel

Job description

Milliman Mountain Gulf Health is seeking a Healthcare Actuary for a full-time, remote role supporting provider clients across MSSP, ACO REACH, and LEAD programs. The job emphasizes strong technical analysis, clear communication, and self-direction within a high-caliber consulting team.

Ideal candidates have a robust actuarial background, experience with CMS/CMMI programs, and proven project management skills.