Healthcare Consultant

Milliman's Seattle Health Practice supports clients in the healthcare industry including health plans, government payers, providers, health tech, and reinsurers. We are looking for a Healthcare Consultant with interest and deep experience in dual eligible policy, finance and analytics . This new position is ideal for a self-motivated individual interested in a fast-paced, high growth opportunity with a progressive employer.

About Our Practice

Milliman's Seattle Health Practice serves a wide variety of organizations, including insurance companies, health plans, state and federal agencies, healthcare providers, reinsurance companies, providers, Accountable Care Organizations (ACOs), health tech, and employers. The staff consists of 180+ actuarial professionals in addition to healthcare consultants, IT, Administrative, and other non-actuarial staff.

By joining Milliman, you will be working with some of the most experienced, most capable people in the health industry. Through our mentor program, you will have a dedicated colleague available to help guide your career growth. For the right candidate, these opportunities will help you grow professionally while enjoying the work you do.

In this role, you will have the opportunity to:

• Serve as subject matter expert on policy and regulatory issues related to dual eligible beneficiaries for internal actuarial teams and external clients including state Medicaid agencies, Medicare Advantage organizations, and other clients.
• Lead and/or contribute to Medicare and Medicaid policy and quantitative research
• Develop and work with cross-functional teams
• Support Milliman engagement teams for clients in one or more of the following areas:




• Medicaid and D-SNP policy design, development, and implementation
• Medicaid waiver and program design, implementation, and evaluation
• SMAC review
• Medicare-Medicaid coordination




• Identify new opportunities to provide Medicare and/or Medicaid policy, programmatic, strategic, operational, and/or actuarial support to current or potential clients
• Keep Milliman engagement teams informed of current and potential policy changes impacting healthcare programs for dual eligible beneficiaries
• Assist with report writing and development of presentation materials
• Communicate results to internal and external stakeholders
• Manage projects and timelines
• Ensure quality control processes and procedures are followed including documentation and peer review

To be successful in this role, you will have the following qualifications:

Professional Qualifications

• Bachelor's degree
• 5+ years' consulting experience in a similar role, or related state Medicaid, federal, or private sector experience with a demonstrated desire and aptitude to become a healthcare consultant
• Deep expertise in D-SNP state and federal regulatory requirements, financing structures, and market dynamics
• Experience providing strategic technical assistance to a wide variety of clients
• Experience working with state Medicaid agencies, federal agencies (CMS, HHS), and Medicare Advantage organizations on healthcare programs for dual eligible beneficiaries
• Experience analyzing and interpreting Federal and state regulations related to healthcare programs for dual eligible beneficiaries
• Experience conducting and summarizing research on healthcare regulatory and financial topics and issues related to dual eligible beneficiaries
• Ability to assist with directing analytical processes and interpreting analytical results to support client engagement teams
• Ability to perform moderate tasks in Microsoft Excel or similar software for quantitative analysis
• Proficiency in Excel, PowerPoint, and MS Word to effectively depict policy and quantitative information in a meaningful way
• Strong organizational skills with attention to detail

Personal Qualifications

• Ability to support and/or manage multiple projects at the same time
• Strong written and verbal communication skills with the ability to communicate effectively with internal managers, subordinates, and external audiences with diverse backgrounds
• Ability to work within a team environment and independently manage own work
• Demonstrated flexibility to adapt to changing requests and taking initiative with prioritization shifts
• Natural curiosity and learning agility when faced with an unfamiliar subject
• Ability to network internally and externally to establish relationships

Preferred Qualifications

• MPP/MPH or MPA
• Experience working at, collaborating with, or consulting for state Medicaid agencies on programs for dual eligible beneficiaries
• Experience working at, collaborating with, or consulting for federal healthcare agencies (CMS, HHS) on programs for dual eligible beneficiaries
• Experience working at, collaborating with, or consulting for Medicare Advantage organizations on D-SNP programs
• Experience managing or implementing new state or federal requirements related to dual eligible beneficiaries
• Experience using Medicare and/or Medicaid data to develop financial analyses
• Professional connections with state, federal, advocacy, and industry leaders in the dual integration space

Location

This is a remote position. Employees may work onsite in the Seattle, WA office if they prefer. The expected application deadline for this job is July 28, 2025.

Compensation

The overall salary range for this role is $93,700 - $185,400. For candidates residing in:

• Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, Pennsylvania, Virginia, Washington, or the District of Columbia the salary range is $103,070 - $169,950.
• New York City, Newark, San Jose, or San Francisco the salary range is $112,440 - $185,400.
• All other locations the salary range is $93,700 - $154,500. A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

Employees are also eligible for a bonus under our standard bonus policy. Paid bonus is dependent on billable hours worked by and work managed by the employee.

Benefits

We offer a comprehensive benefits package designed to support employees' health, financial security, and 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 observed 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 world's 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 (ERG's) 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 (https://www.milliman.com/en/social-impact) to learn more about Milliman's commitments to our people, diversity and inclusion, social impact 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.