Healthcare Consulting Actuary – Provider & Value-Based Care (FSA)

📋 Description

• Model provider performance across CMS and CMMI programs, including MSSP, ACO REACH, and LEAD
• Evaluate value-based contracts from the provider perspective, including shared savings and downside
• Model provider reimbursement arrangements and support payer contract and rate negotiations with
• Analyze detailed claims, enrollment, CMS, and healthcare data to identify utilization patterns
• Lead consulting projects by defining scope, managing budgets and timelines, delegating technical
• Develop clear client-facing deliverables, including emails, memoranda, presentations, reports, and

🎯 Requirements

• Bachelor’s degree in actuarial science, mathematics, statistics, economics, or another quantitative
• Fellowship in the Society of Actuaries (FSA) or equivalent professional actuarial designation.
• 5–8 years of healthcare actuarial experience, including a strong understanding of provider
• Hands-on experience with at least one CMS or CMMI total cost-of-care program, such as MSSP, ACO
• Experience developing benchmarks for CMS/CMMI programs or other risk-based healthcare arrangements
• Knowledge of provider reimbursement models, including fee schedules, capitation, case rates

🎁 Benefits

• Remote work environment, with the option to work onsite from select office locations.
• Base salary ranging from $103,500 to $214,820, depending on location, experience, qualifications
• For candidates in Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey
• For other U.S. locations, the salary range is $103,500–$186,800.
• Eligibility for a discretionary bonus program; paid bonuses routinely exceed 25% of base salary
• Medical, dental, and vision coverage for employees, dependents, and domestic partners.