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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

Job Overview

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

Ideal Candidate Profile

Ideal for an FSA-level Health actuary with 5-8 years of provider-focused experience, especially in CMS/CMMI programs and value-based contracts. The strongest fit combines technical modeling and claims-data skills with clear client communication and independent project leadership.

FSA

Benefits

401kMedicalDentalVisionPTOParental Leave

Exam support

Mentioned, but no specifics published

Healthcare Consulting Actuary – Provider & Value-Based Care (FSA)

Milliman

Health/Consultancy
Milliman

Healthcare Consulting Actuary – Provider & Value-Based Care (FSA)

Milliman

Denver, Colorado, United States · Remote · Today

Health OtherHealth Other

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