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.
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• 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.
Apply tot his job
Apply To this Job