Actuarial Manager, ASA – Medicare, Provider VBP

Milliman

. Serve as credible client-facing actuary on complex Medicare advisory work, including provider VBP, ACO strategy, and Medicare Advantage engagements .

Posted 4/21/2026full-timeRemote • California, Connecticut, District of Columbia, Illinois, Maryland, Massachusetts, New Jersey, New York, Virginia, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $88,800 - $184,460 per yearWebsite

Tech Stack

Tools & technologies

PythonSQL

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data analysisfinancial modelingrisk adjustmentbenchmarkingactuarial conceptsMedicare AdvantageMedicare Shared Savings Programtotal cost of careproject managementclient communications

Soft Skills

analytical skillscommunication skillsmentoringleadershipclient interactionteam managementcoachingindependent workquality reviewstrategic oversight

Certifications

ASA designationFellowship in the Society of Actuaries