Salary: $104k - $215k
Experience: 5+ Years

Role Summary

Role type

Client-facing healthcare consulting

Closer to client-facing consulting than an in-house pricing role—the work spans multiple provider engagements and builds toward client ownership.

Manager-level Health consulting actuary role in a remote US position listed in Denver, Colorado. You’ll advise provider clients on value-based care, model CMS programs and risk arrangements, analyze claims data, and lead client projects. An FSA and 5-8 years of healthcare actuarial experience are required.

Requirements

Must have

Bachelor's degree in actuarial science, math, statistics, economics, or similarly quantitative
FSA designation
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
Experience managing projects: scoping, budget, delegation, timelines, client contact
Experience with detailed healthcare claims data
Excel expertise
SQL, Python, R, or SAS

Strongly preferred

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

Skills & Domain

Domainprovidervalue_based_carehealthcaredata_analysishealthcare

Role Summary

Role type

Client-facing healthcare consulting

Closer to client-facing consulting than an in-house pricing role—the work spans multiple provider engagements and builds toward client ownership.

Requirements

Must have

Bachelor's degree in actuarial science, math, statistics, economics, or similarly quantitative
FSA designation
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
Experience managing projects: scoping, budget, delegation, timelines, client contact
Experience with detailed healthcare claims data
Excel expertise
SQL, Python, R, or SAS

Strongly preferred

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

Skills & Domain

Domainprovidervalue_based_carehealthcaredata_analysishealthcare

Role Summary

Role type

Requirements

Must have

Strongly preferred

Skills & Domain

Role Summary

Role type

Requirements

Must have

Strongly preferred

Skills & Domain

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