Salary: $89k - $184k
Experience: 5+ Years

Role Summary

Role type

Healthcare consulting partner to providers

Closer to client-facing consulting than an internal modelling role because project ownership, provider advice, and direct leadership communication are central.

Senior Health actuarial consulting role with Milliman’s Mountain Gulf Health Practice, serving provider clients in Denver or remotely. You’ll model Medicare and value-based care arrangements, analyze claims and CMS data, support reimbursement and payer negotiations, and lead client projects. The role requires an ASA, progress toward FSA, and 5–8 years of healthcare actuarial experience.

Requirements

Must have

Bachelor's degree in actuarial science, math, statistics, economics, or similarly quantitative field
5-8 years in healthcare actuarial work with provider perspective understanding
Experience with CMS/CMMI total cost of care programs (MSSP, ACO REACH, Primary Care First, bundled payment)
Experience building benchmarks for CMS/CMMI programs or risk-based arrangements
Experience with attribution methodologies
Provider reimbursement knowledge (fee schedules, capitation, case rates, episode payments)
Excel expertise
Project management experience (scoping, budget, delegation, timelines, client contact)
Ability to explain technical work to non-technical audiences
Solid understanding of US healthcare system
Experience with detailed healthcare claims data
Proficiency in SQL, Python, R, or SAS
ASA designation, working towards FSA

Nice to have

Experience with CMS claim and claim line feed (CCLF) data
Experience modeling participation decisions across CMS and CMMI programs

Skills & Domain

ToolsExcel

DomainMedicare

Role Summary

Role type

Healthcare consulting partner to providers

Closer to client-facing consulting than an internal modelling role because project ownership, provider advice, and direct leadership communication are central.

Requirements

Must have

Bachelor's degree in actuarial science, math, statistics, economics, or similarly quantitative field
5-8 years in healthcare actuarial work with provider perspective understanding
Experience with CMS/CMMI total cost of care programs (MSSP, ACO REACH, Primary Care First, bundled payment)
Experience building benchmarks for CMS/CMMI programs or risk-based arrangements
Experience with attribution methodologies
Provider reimbursement knowledge (fee schedules, capitation, case rates, episode payments)
Excel expertise
Project management experience (scoping, budget, delegation, timelines, client contact)
Ability to explain technical work to non-technical audiences
Solid understanding of US healthcare system
Experience with detailed healthcare claims data
Proficiency in SQL, Python, R, or SAS
ASA designation, working towards FSA

Nice to have

Experience with CMS claim and claim line feed (CCLF) data
Experience modeling participation decisions across CMS and CMMI programs

Skills & Domain

ToolsExcel

DomainMedicare

Role Summary

Role type

Requirements

Must have

Nice to have

Skills & Domain

Role Summary

Role type

Requirements

Must have

Nice to have

Skills & Domain

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