Actuarial Manager – Medicare VBP Consulting

Job Description

Actuarial Manager (FSA) – Medicare / Provider VBP (CMH Health) | Milliman

The Tone:
This is a full-time role at Milliman, with preferred on-site work in Chicago, IL, Milwaukee, WI, or Hartford, CT, though remote candidates will be considered. Milliman stands as a leading expert in healthcare financing and delivery, offering clients comprehensive advice on issues ranging from the impact of healthcare reform to optimizing operations while enhancing patient care quality. Our consulting efforts are bolstered by powerful data analytics solutions and informed by industry-leading cost guidelines. This Actuarial Manager role is pivotal for capitalizing on significant growth opportunities within provider value-based payment consulting, advising health systems, physician groups, and Accountable Care Organizations (ACOs) on complex Medicare financial strategies and helping manage junior staff.

The TL;DR
• Role: Full Time
• Type: Full-time
• Location: Chicago, Milwaukee, Hartford, Remote, USA
• Pay: $103500–$214820 yearly
• Team: Coordinates with consultants and analysts within a project team, managing professional and senior professional staff.
• Mission: Lead the advisement of health systems, physician groups, and ACOs on Medicare shared savings, risk adjustment, and total cost of care benchmarking to drive growth in provider value-based payment consulting.
• Tech Stack: Excel, SAS, Python, SQL, VBA, proprietary Milliman programs

What You’ll Actually Do
• Client Advisory: Serve as a credible client-facing actuary on complex Medicare advisory work, including provider VBP, ACO strategy, and Medicare Advantage engagements.
• Strategic Guidance: Advise health systems, physician groups, and ACOs on Medicare Shared Savings Program (MSSP) performance, total cost of care (TCOC) benchmarking, and risk adjustment.
• Staff Management: Manage and direct professional and senior professional staff on client engagements, providing quality review and mentoring to junior staff.
• Data Analysis: Perform data analysis using Excel, SAS, Python, SQL, and proprietary Milliman programs to assist with consulting for various health insurance work areas.
• Financial Modeling: Support financial modeling for ACO performance evaluation, risk adjustment strategy, and shared savings projections.

The Must-Haves
• Background: Actuarial Manager with a Bachelor’s or Master’s degree in a quantitative field and an FSA designation, primarily working with Medicare programs.
• Experience: 7+ years of full-time actuarial experience focused on Medicare Advantage (MA) or Accountable Care Organization (ACO) work, with demonstrated ability to manage and mentor junior staff.
• Skills: Strong analytical and communication skills (both verbal and written), ability to interact directly with clients, thorough understanding of Microsoft Excel and actuarial concepts, strong time management skills, and the ability to work independently and within a team.
• Bonus: Openness and enthusiasm for using AI and large language model (LLM) tools, intellectual curiosity to learn new domains and methods, experience with Python, SQL, SAS, or VBA, client focused, results oriented, and organizational expertise.