Overview In this role you will model provider performance and risk under value-based programs for health systems and physician groups. You will translate complex analyses into decision-ready guidance for CFOs and leadership, collaborating with a cross-functional team. You'll work on MSSP, ACO REACH, LEAD, and other risk-sharing arrangements to quantify savings, risk, and network performance. This role offers hands-on training, autonomy, and growth toward client relationships and business development within a mission-driven consulting practice.
Compensation / Benefits- Medical, Dental and Vision for employees and dependents
- 401(k) with matching and profit-sharing
- Discretionary bonus program
- Paid Time Off (PTO)
- Holidays
- Paid parental leave
Responsibilities- Model provider performance under MSSP, ACO REACH, and LEAD, including benchmark projections, attribution, risk score dynamics, and scenario testing across risk tracks
- Evaluate value-based contracts from the provider side (shared savings, downside risk, global and primary care capitation, episode and bundled payments) and how risk/reward flows downstream
- Model reimbursement and support rate negotiations with payers
- Analyze claims, enrollment, and CMS data to address utilization, cost drivers, risk adjustment, and network performance
- Lead projects with scoping, budgeting, delegation, timelines, and client communication
- Draft client-facing materials (emails, memos, decks, reports) for CFOs and medical leadership; assist in proposal writing
- Support other client types and projects within the practice; future path toward client relationships and business development
Key requirements- Bachelor's degree in actuarial science, math, statistics, economics, or similar quantitative field
- ASA designation, working towards FSA
- Five to eight years in healthcare actuarial work
- Hands-on knowledge of at least one CMS/CMMI program (MSSP, ACO REACH, Primary Care First, bundled payments)
- Experience building benchmarks for CMS/CMMI programs and/or other risk-based arrangements
- Experience with attribution methodologies
- Familiarity with provider reimbursement (fee schedules, capitation, case rates, episode payments)
- Excel expertise
- Experience managing projects (scoping, budgeting, delegation, timelines, client contact)
- Ability to explain technical work to non-technical audiences
- Solid understanding of the US healthcare system
- Experience with detailed healthcare claims data
- SQL, Python, R, or SAS
- Proactive
- Independent work style with ability to anticipate client needs
- Clear written and verbal communicator
- Excel
- SQL
- Python
