Actuarial Manager (FSA) - Medicare / Provider VBP (CMH Health)

Who We Are

Job Responsibilities

• 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 (Long Term Enhanced ACO Design) 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

Minimum requirements

• Bachelor's or Master's degree in a quantitative field (Bachelor's degree is required)
• 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)
• FSA 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

Competencies and Behaviors that Support Success in this Role

The Team

Location

• It is preferred that candidates work on-site at our Chicago, IL, Milwaukee, WI, or Hartford, CT office. Remote candidates will be considered. The expected application deadline for this job is February 14, 2027.

Compensation

• The overall range for this role is $103,500 - $214,820. For candidates residing in:
• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia the range is $119,025 - $214,820.
• All other locations the range is $103,500 - $186,800
• A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

Benefits

• We offer a comprehensive benefits package designed to support employees' health, financial security, and well-being. Benefits include:
• 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 11 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.

Equal Opportunity