Healthcare Associate Actuary – Provider & Value-Based Care (ASA)

Milliman - Denver, CO

Hiring: Healthcare Associate Actuary – Provider & Value-Based Care (ASA) Company: Milliman Location: Denver, CO Job Posted Time: 2026-09-16 16:49:23 Employment Type: Full-time / Remote Target Skills & Keywords : Microsoft Excel, Payer Contracts, Python, R, Regulatory Compliance, Risk Management, SQL About the job Experience: •75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. •Over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. Required Skills: •Milliman's Mountain Gulf Health Practice is seeking a Healthcare Actuary to work full-time with provider clients. You'd be supporting health systems, physician groups, and ACO enablers who are taking on risk under various value-based payment models. •You need to be technically strong and have sound judgment about which analysis answers the question client leadership is asking, then explain it in a way that is clear and supports decision making. You will also need to be self-directed. We provide extensive on-the-job training in consulting skills and advanced actuarial techniques. •Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. •Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance. •Model provider performance under MSSP, ACO REACH, and LEAD. That means benchmark projection, attribution, risk score dynamics, savings and loss estimation, and scenario testing across risk tracks. •Evaluate value-based contracts from the provider side: shared savings and downside risk, global and primary care capitation, episode and bundled payments, and how risk and reward get distributed downstream. •Model reimbursement and support rate negotiations with payers. •Dig into claims, enrollment, and CMS data to answer questions about utilization, cost drivers, risk adjustment, and network performance. Qualifications: •ASA designation, working towards FSA •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). •Operational familiarity with provider reimbursement: fee schedules, capitation, case rates, episode payments •Demonstrated capacity to explain technical work to people who are not technical •Solid understanding of the US healthcare system •SQL, Python, R, or SAS •Proactive and can anticipate what the analysis needs and what the client will ask next. •Makes decisions and able to move work forward independently, while completing appropriate reviews with senior consultants Compensation: •$88,800 - $184,460 / year •Competitive benefits and rewards package •Employees are also eligible for a bonus under our standard bonus policy Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!