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