Consulting Actuary (FSA) - ACA

Milliman's Seattle Health Practice is looking for an FSA with experience in health actuarial work. The position requires creative actuarial capabilities, good communication and interpersonal skills, and organizational talents. A high degree of self-motivation and the ability to lead a team of dedicated consultants are also necessary for success. We provide extensive on-the-job training in consulting skills and advanced actuarial techniques.

About Our Practice

Milliman’s Seattle Health Practice serves a wide variety of organizations, including insurance companies, health plans, state and federal agencies, healthcare providers, reinsurance companies, providers, Accountable Care Organizations (ACOs), and employers. The staff consists of 180+ actuarial professionals in addition to healthcare consultants, IT, Administrative, and other non-actuarial staff.

By joining Milliman, you will be working with some of the most experienced, most capable people in the health industry. Through our mentor program, you will have a dedicated colleague available to help guide your career growth. For the right candidate, these opportunities will help you grow professionally while enjoying the work you do.

You will have the opportunity to:

• Lead commercial rate development and rate filings, including ACA SG
• Lead or support other analyses, including regulatory reporting, pricing, and reserving
• Perform analysis of healthcare data
• Write reports that explain technical concepts clearly to a non-technical audience
• Manage projects through completion within an expected budget
• Supervise actuarial students and less-experienced actuaries in the completion of technical aspects of actuarial projects
• Lead calls, present actuarial concepts and results, and engage in strategic discussions with clients

Employees will be expected to develop the ability to manage client relationships and successfully generate new business with both new and existing clients.

To be successful in this role, you will have the following qualifications:

Professional Qualifications:

• Bachelor’s degree in mathematics, statistics, economics, or a related field
• FSA designation
• Ten or more years of healthcare actuarial experience. Meaningful experience in ACA pricing / rate filing is required, while experience in one or more of the following areas would be considered a “plus”:
• Medicaid rate-setting
• Reserving and year-end statutory financials (“blue” and “orange” blanks)
• Medicare Advantage, especially bid development and understanding of revenue mechanisms (e.g., risk scores, star ratings)
• Value-based provider contracting
• A minimum of 3 years of experience managing or delegating work to more junior staff.
• Proficiency with Excel
• Some knowledge of SAS, SQL, or R
• Strong understanding of the US healthcare system
• Demonstrable skills in presenting technical concepts to a non-technical audience in an understandable way

Personal Qualifications:

• Excellent communication, both verbal and written
• Ability to work both independently and in team environments
• Proven ability to work in a fast-paced environment where client satisfaction is key
• Entrepreneurial spirit

Location

This position is based out of the Milliman office in Seattle, WA, but remote candidates anywhere in the US will be considered.

The expected application deadline for this job is July 31, 2025.

Compensation

The salary range is $113,000 - $236,000, depending on a combination of factors, including but not limited to education, relevant work experience, qualifications, skills, certifications, location, etc. Employees are also eligible for a bonus under our standard bonus policy. Paid bonus is dependent on billable hours worked by and work managed by the employee. Actual bonuses vary widely based on desired and completed workload but routinely exceed 40% of base salary.

To be considered for this position, please upload a resume and cover letter.

No recruiters, please.

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.
  • 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.

Who We Are

Independent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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