Managing Consulting Actuary

We are seeking a Senior Actuary with deep expertise in either

Medicare Advantage, government programs, or value-based care (VBC)

to advise clients on complex financial and strategic decisions.

This role is highly consultative and externally facing, requiring the ability to partner with health plans, providers, and healthcare organizations to design and optimize

risk-based and value-based payment models

. The Managing Consulting Actuary will lead engagements that directly influence financial performance, contract strategy, and long-term growth in Medicare and VBC-driven markets.

Key Responsibilites

Strategic Client Advisory (Medicare \& VBC Focus)

• Serve as a trusted advisor to clients on

Medicare Advantage strategy, risk adjustment, and value-based payment design

• Provide guidance on

risk-sharing arrangements, capitation models, and alternative payment structures

• Advise on financial performance, market positioning, and growth strategy within

government programs and VBC models

• Translate complex actuarial analyses into clear recommendations for executive stakeholders

Engagement \& Delivery Management

• Lead end-to-end execution of complex consulting engagements across

Medicare, Medicaid, and VBC initiatives

• Ensure high-quality deliverables across areas such as

pricing strategy, contract evaluation, and financial modeling

• Manage project timelines, scope, and client expectations across multiple engagements

Value-Based Care \& Innovation

• Support clients in designing and evaluating

value-based care arrangements, including ACO, MSSP, and risk-bearing provider models

• Assess financial impact of

care delivery transformation initiatives and population health programs

• Partner with clients to optimize

provider incentives, performance metrics, and reimbursement structures

Team Leadership \& Development

• Lead and mentor actuarial and analytics teams, providing guidance on

healthcare and Medicare-focused workstreams

• Foster development of talent in

VBC analytics, risk adjustment, and advanced actuarial techniques

• Promote collaboration across actuarial, clinical, and strategy functions

Business Development

• Identify opportunities to expand work in

Medicare Advantage and value-based care consulting

• Support client proposals, presentations, and thought leadership focused on

healthcare transformation

• Build long-term client relationships as a trusted strategic partner

Qualifications

• ASA or FSA required
• Strong, hands-on experience in Medicare Advantage, Medicare, or government healthcare programs is essential
• Demonstrated expertise in at least one of the following:

+ Value-based care (VBC) or alternative payment models

+ Risk adjustment (RAF), coding, and revenue optimization

+ Medicare bid development, pricing, or forecasting

• Track record of leading client engagements
• Proven ability to communicate complex healthcare and financial concepts to non-technical stakeholders

Preferred Experience

• Experience working with

ACO REACH, MSSP, bundled payments, or capitation arrangements

• Familiarity with

Medicaid managed care or dual-eligible populations

• Exposure to provider-side or payor-provider integrated models
• Experience supporting

regulatory strategy, CMS programs, or healthcare policy implications