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Posted May 21, 2026

Actuarial Manager, ASA – Medicare, Provider VBP

Job Description: • Serve as credible client-facing actuary on complex Medicare advisory work, including provider VBP, ACO strategy, and Medicare Advantage engagements • Advise health systems, physician groups, and ACOs on Medicare Shared Savings Program (MSSP) performance, total cost of care (TCOC) benchmarking, and risk adjustment • Support emerging ACO program opportunities, including the CMS LEAD (Leveraging Efficiency And Driving-quality) model and other CMMI innovation programs • Manage and direct professional and senior professional staff on client engagements • Lead workstreams independently, freeing senior team members to focus on business development and strategic oversight • Provide quality review and mentoring to junior staff • Perform data analysis using Excel, SAS, Python, SQL, and proprietary Milliman programs to assist with consulting for various health insurance work areas (Medicare, Commercial / ACA, Medicaid, Long Term Care, Pharmacy, Provider, and more) • Support financial modeling for ACO performance evaluation, risk adjustment strategy, and shared savings projections • Responsible for reviewing the work of others and assisting with research and product development • Responsible for training and coaching professional staff • Responsible for several projects simultaneously, providing insight into the technical direction of each project, verifying the initial reasonableness of the solution, and creating client communications for review by Consultants • Responsible for progressing with actuarial exams to attain the Fellowship in the Society of Actuaries (FSA) designation Requirements: • Bachelor's or Master's degree in a quantitative field (Bachelor's degree is required) • 4–7 years of full-time actuarial experience, primarily working with Medicare programs (Medicare experience is required – either Medicare Advantage (MA) or Accountable Care Organization (ACO) work) • ASA designation with the Society of Actuaries (SOA) • Strong analytical and communication skills with the ability to interact directly with clients • Demonstrated ability to manage and mentor junior staff • Thorough understanding of Microsoft Excel and actuarial concepts Benefits: • Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners. • Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges. • 401(k) Plan – Includes a company matching program and profit-sharing contributions. • Discretionary Bonus Program – Recognizing employee contributions. • Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses. • Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis. • Holidays – A minimum of 10 observed holidays per year. • Family Building Benefits – Includes adoption and fertility assistance. • Paid Parental Leave – Up to 12 weeks of paid leave for employees who meet eligibility criteria. • Life Insurance & AD&D – 100% of premiums covered by Milliman. • Short-Term and Long-Term Disability – Fully paid by Milliman.