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

Jobgether - United States

Hiring: Healthcare Consulting Actuary – Provider & Value-Based Care (FSA) Company: Jobgether Location: United States Job Posted Time: 2026-09-17 02:52:17 Employment Type: Full-time / Remote Target Skills & Keywords : AI, GDPR, Microsoft Excel, Payer Contracts, Project Management, Python, R, SQL About the job Experience: •8 years of healthcare actuarial experience, including a strong understanding of provider perspectives and financial considerations. Required Skills: •Advise health systems, physician groups, and ACO-focused organizations on financial and actuarial questions tied to performance and reimbursement. •Evaluate contracts, model financial outcomes, support payer negotiations, and translate complex findings into actionable recommendations. •As a project lead, you will manage scopes, budgets, timelines, technical teams, and direct client relationships. •Also have access to healthcare data assets, modeling tools, mentoring, and training to support continued professional growth. Qualifications: •Bachelor’s degree in actuarial science, mathematics, statistics, economics, or another quantitative discipline. •Fellowship in the Society of Actuaries (FSA) or equivalent professional actuarial designation. •5–8 years of healthcare actuarial experience, including a strong understanding of provider perspectives and financial considerations. •Applied hands-on capability in at least one CMS or CMMI total cost-of-care program, such as MSSP, ACO REACH, Primary Care First, or a bundled payment model. •Knowledge of provider reimbursement models, including fee schedules, capitation, case rates, episode payments, and related contractual structures. •Advanced Excel skills and experience working with detailed healthcare claims data. •Demonstrated project management experience, including scoping, budgeting, delegation, timeline management, and client communication. •Demonstrated capacity to explain complex actuarial and analytical concepts clearly to non-technical audiences. •In-depth knowledge of the U.S. healthcare system and the financial dynamics of value-based care. •Proactive, self-directed approach with the judgment to move projects forward independently while incorporating appropriate senior-level review. Compensation: •$103,500 - $214,820 / year •Flexible work environment (work from home / hybrid options) 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!