Associate Actuary – Medicaid & VBP (Seattle Health)

Millimans Seattle Health Practice is looking for an ASA with experience in health actuarial work with a focus on Value Based Payments (VBP) and government programs (Medicaid Medicare). 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

Millimans Seattle Health Practice partners with a broad spectrum of organizations including insurance companies health plans government agencies healthcare providers reinsurers Accountable Care Organizations (ACOs) health technology firms and employers. Our team includes over 180 actuarial professionals supported by expert consultants IT specialists and dedicated operations staff.

Join Milliman and collaborate with some of the most accomplished professionals in the health industry. Our mentor program ensures you have a dedicated colleague to guide your career growth providing the support and resources you need to thrive. For motivated candidates this is an exceptional opportunity to advance professionally while making a meaningful impact in healthcare.

You will have the opportunity to:

• Perform analysis of healthcare data
• Interpret regulations
• Build financial models
• 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

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

What Were Looking For

Professional Qualifications

• Bachelors degree in mathematics statistics economics or a related field
• ASA designation
• 7 years of healthcare actuarial experience with at least four (4) years working in a consulting environment.
• Minimum of four (4) years experience with VBP Medicaid and Medicare.
• Minimum of two (2) years leading working in the Medicaid managed care environment or with state agencies managing Medicaid including delegating work to and mentoring 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

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

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 May 29 2026.

Compensation

The overall salary range for this role is $88800 - $208380. A combination of factors will be considered including but not limited to education relevant work experience qualifications skills certifications etc.

For candidates residing in:

• Alaska California Connecticut Illinois Maryland Massachusetts New Jersey Pennsylvania Virginia Washington or the District of Columbia:
  • $102120 - $184460 if overall experience is less than 10 years; and
  • $115460 - $208380 for experience greater than 10
• All other states:
  • $88800 - $160400 if overall experience is less than 10 years; and
  • $100400 - $181200 for experience greater than 10

Benefits

We offer a comprehensive benefits package designed to support employees health financial securityand 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 paid 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 over 75 years Milliman delivers market-leading services and solutions to clients worldwide. Today we are helping companies take on some of the worlds most critical and complex issues including retirement funding and healthcare financing risk management and regulatory compliance data analytics and business transformation.

Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERGs) are employee-led communities that influence policy decisions develop future leaders and amplify the voices of their constituents. We encourage our employees to give back to their varied professions including leadership in professional organizations. Please visit our web site ( to learn more about Millimans commitments to our people inclusion and sustainability.

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 national origin disability or status as a protected veteran.

#LI-REMOTE

#LI-RR1

Required Experience:

IC