Milliman Jobs (2)

Who We Are Milliman’s Medicaid Finance and Policy Practice serves a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including state Medicaid agencies, hospital associations, and safety net hospital systems. The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 200+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians. We are seeking individuals with experience leading payment transformation engagements with Medicaid programs to join our team. This position is ideal for experienced healthcare professionals interested in facilitating practice growth through business development, managing projects, and contributing to internal operations in a rapidly growing consulting practice. Responsibilities Leading project teams supporting payment system design and rate setting for state Medicaid agencies in the following areas : Payment methodology design and rate development for hospitals, physicians, nursing facilities, home and community-based services and other healthcare providers Value-based purchasing initiatives and strategy Supplemental payment design, including managed care state directed payment arrangements, fee-for-service ( UPL ) supplemental payments, and disproportionate share hospital (DSH) payments Federal financing options and related compliance Managing data analysis and modeling using administrative claims and cost survey data Reviewing the analytical work of project teams and ensuring Milliman’s quality control processes and procedures are being followed Producing thought leadership on trends and regulatory changes affecting healthcare provider payments in Medicaid programs Leading development of client reports and presentation materials Facilitating external stakeholder engagement Supporting business development efforts and additional growth opportunities Qualifications Bachelor’s Degree required, with preference for advanced degree or relevant industry credential 10+ years’ experience analyzing healthcare utilization and financial data, with a preference for experience analyzing healthcare payment methodologies and evaluating healthcare outcomes 5+ years' experience providing consulting services to state Medicaid agencies Experience researching, analyzing, and summarizing Federal and state regulations related to Medicaid program funding and payments to healthcare providers Experience leading external stakeholder meetings Ability to assist with directing analytical processes and interpreting analytical results to support client engagement teams Knowledge of and experience working with medical claims and managed care plan encounter data Proficient in advanced Excel and other MS-based product techniques, including MS Word and PowerPoint Strong organization skills with attention to detail to manage multiple projects at the same time Strong written and verbal communication skills Ability to communicate with all levels within the organization Ability to work within a team environment and independently manage own work This position is based out of Milliman’s Seattle, Chicago, Milwaukee, or Indianapolis offices. Milliman Benefits At Milliman, we focus on creating an environment that recognizes and meets the personal and professional needs of the individual. We offer a competitive benefits package which includes : Medical, dental, and vision coverage for employees and their families, including eligible domestic partners A 401(k) plan with matching program Paid Parental Leave up to 12 weeks Profit sharing as a discretionary contribution to employees’ retirement accounts Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason Adoption assistance Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs Teladoc and nurse advice line Best Doctor - Medical second opinion, in-depth expert medical review, access to expert physicians, critical care support, and referral services at no cost Employee Assistance Program (counseling and support on everyday life issues, financial tools and calculators, discount tax preparation, legal forms, wellness coaching, interactive e-learning programs) Computer, software, and mobile phone discount programs ORCA Pass unlimited rides (Seattle only) Corporate Social Responsibility and Giving programs Qualifications Education Required Bachelor’s Degree Preferred Graduate degree in accounting, healthcare management, public policy, or healthcare-related disciplines Experience Required 10+ years of experience analyzing healthcare utilization and financial data, with a preference for experience analyzing healthcare payment methodologies and evaluating healthcare outcomes 5+ years of experience providing consulting services to state Medicaid agencies Compensation The base salary range for this position is $140,000-$225,000, depending on relevant factors, including, but not limited to, education, work experience, skills, certifications, location, etc. Employees are also eligible for a bonus under our practice’s bonus policy, which can be significant portion of total compensation. Location This position is based out of the Milliman offices in Seattle, Indianapolis, Chicago, and Milwaukee. While it is preferred for employees to work onsite in one of the Milliman offices, the option to work remotely anywhere in the US is available. Milliman Benefits We offer competitive benefits which include the following based on plan eligibility : Medical, dental and vision coverage for employees and their dependents, including domestic partners A 401(k) plan with matching program, and profit sharing contribution Employee Assistance Program (EAP) A discretionary bonus program Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period A minimum of 8 paid holidays Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs To be considered for this position, please upload a resume and cover letter. No recruiters, please. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Do you have the analytic skills to find insight in a pile of healthcare data? Do you thrive in a fast-paced environment? Milliman’s NYC / Atlanta Health Practice is seeking professionals from a variety of analytic and clinical backgrounds to join our vibrant staff. We offer challenging projects, world-class resources, expert colleagues, a collaborative environment, and diverse client projects. Work, learn, and grow with us. Milliman’s NYC / Atlanta Health Practice consults to clients on disease processes, treatments, costs, healthcare reform, risk, and payer systems. Our clients span all sectors of the health industry. Our services include analyzing financial arrangements, innovative contracts, disease states, therapeutic value, benefit design, healthcare reform, and health systems. We have brought unparalleled actuarial, analytical, and operational expertise to these clients. Milliman is the world’s premier actuarial consulting firm with over 4,000 employees and $1 billion in revenue. We attribute our 70+ years of continuous growth to our environment where independent and talented individuals succeed as outstanding professionals. We have a collegial, rigorous, supportive and non-bureaucratic environment. We seek energetic and imaginative professionals to join our client-oriented team at our Penn Station, New York City or Buckhead / Atlanta, GA location. Successful candidates will have the potential to become project / client leaders and become recognized as expert senior consultants. Primary roles Hands on advanced data analytics and project management Apply innovative techniques to large claims datasets to analyze a wide array of healthcare-related topics Investigate discrepancies between medical concepts and their manifestation in claims datasets Contribute to hypothesis development for quasi-experimental designs Assist junior colleagues with the development of their programming and analytic skills Role in client management that will increase over time Qualifications : Required : Required : At least five years of experience analyzing very large medical insurance claims via direct use of coding language (e.g. SQL, SAS) Understanding of medical coding systems (CPT, ICD-9, DRG, etc.) Limited travel working at client site is rare Knack for prioritizing and completing multiple projects and tasks Strong oral and written communication skills Strong problem solving and analytical skills Ability to work both independently and as part of a team Experience or knowledge of the healthcare industry and payer systems Preferred : Experience in insurance, finance, or outcomes research Experience scrubbing large, non-standardized claims datasets Experience with MarketScan and / or Medicare (or similar) databases Experience with complex Excel models Available for partial-in person role - at least partial in-office work at either of our two locations (New York or Atlanta) is preferred. PharmD, RN, MD, MPH, MS, PhD, FSA, ASA or similar background Compensation The salary range is $90,000 to $175,000, depending on a combination of factors, including but not limited to education, relevant work experience, qualifications, skills, certifications, location, etc. If overall experience is less than 10 years the range would be $90,000 to $140,000; for experience of at least 10 years, the range would be $105,000 to $175,000. Milliman Benefits We offer competitive benefits which include the following based on plan eligibility : Medical, dental and vision coverage for employees and their dependents, including domestic partners A 401(k) plan with matching program, and profit sharing contribution Employee Assistance Program (EAP) A discretionary bonus program Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period A minimum of 8 paid holidays Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs Qualifications Education Required Bachelors or better Preferred PharmD, MPH, MS, PhD Experience Preferred PharmD, RN, MD, MPH, MS, PhD, FSA, ASA or similar background All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.