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

Role Summary

Role type

Client-facing healthcare consulting lead

Closer to client-facing consulting than an internal modelling role because project ownership, negotiations, and senior stakeholder communication are explicit.

Senior U.S. Health consulting actuary role focused on provider and value-based care. You will model CMS/CMMI programs and provider contracts, analyze claims and reimbursement data, support payer negotiations, and lead client projects remotely across the United States.

Requirements

Must have

  • Bachelor's degree in actuarial science, mathematics, statistics, economics, or another quantitative discipline
  • FSA or equivalent professional actuarial designation
  • 5–8 years of healthcare actuarial experience
  • Hands-on experience with at least one CMS or CMMI total cost-of-care program (MSSP, ACO REACH, Primary Care First, or bundled payment model)
  • Experience developing benchmarks for CMS/CMMI programs or other risk-based healthcare arrangements
  • Advanced Excel skills and experience working with detailed healthcare claims data
  • Experience with SQL, Python, R, SAS, or comparable analytical tools
  • Demonstrated project management experience (scoping, budgeting, delegation, timeline management, client communication)
  • Strong understanding of the U.S. healthcare system and financial dynamics of value-based care
  • Ability to explain complex actuarial concepts clearly to non-technical audiences
  • Strong written and verbal communication skills, producing polished client-facing materials
  • Proactive, self-directed approach with judgment to move projects forward independently
  • Ability to work effectively both independently and collaboratively in fast-paced environment
  • Must be legally authorized to work in the United States without current or future immigration sponsorship

Skills & Domain

ToolsExcelTableau
DomainHealthcare_InsuranceValue-Based_Care_Provider_ContractingCMS_CMMI_Program_Modeling

Job Overview

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

Ideal Candidate Profile

Ideal for a senior Health actuary and FSA with 5–8 years of provider or value-based care experience. The strongest fit combines CMS/CMMI modeling, claims-data analysis, project leadership, and clear client communication.

ASAFSA

Benefits

401KRSU Bonus PensionWellness Mental Financial BenefitsParental Sick LeavesRetirement Savings PlanDisability ADD Insurance

Exam support

Mentioned, but no specifics published

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

Jobgether

Health/Consultancy
Jobgether

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

Jobgether

United States · Remote · Today

Health Other

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