We are seeking a senior actuarial consultant with 10+ years of experience in commercial and Affordable Care Act (ACA) health insurance to lead business development strategy and growth initiatives for Milliman’s San Diego Health practice. This position is primarily accountable for expanding markets and strategic relationships, developing and executing initiatives to attract new clients and grow existing accounts, and translating market insights into revenue growth and client value. The role draws on actuarial expertise to shape client solutions and collaborates with consulting teams to deliver successful engagements.
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 (ERGs) 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 website (https://www.milliman.com/en/social-impact) to learn more about Milliman’s commitments to our people, inclusion, 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.
What You Will Do
In this role, your primary responsibility is to drive business development strategy and growth, including:
· Develop and own business development plans for commercial and ACA health insurance markets, including target accounts, priority offerings, strategic partnerships, and growth objectives.
· Lead the identification, evaluation, and pursuit of new business opportunities, from prospect outreach and pursuit strategy through proposals, client presentations, and securing new engagements.
· Lead market and competitive analysis, assessing industry trends, regulatory developments, competitors, and client needs to inform growth strategy and identify opportunities for market expansion.
· Develop and advance strategic initiatives and differentiated consulting solutions designed to increase practice revenue, profitability, and value delivered to clients.
· Build and expand relationships with senior decisionmakers at current and prospective clients and with potential strategic partners to strengthen Milliman’s market position and generate new opportunities.
· Create account growth strategies, identify cross-practice opportunities, and coordinate with colleagues across Milliman to expand existing relationships and enter new markets.
· Set and monitor business development priorities, opportunity pipeline, and growth results; evaluate progress and recommend strategic adjustments to practice leadership.
· Apply actuarial expertise in pricing, healthcare cost projections, and forecasting to shape client solutions and provide senior-level guidance and oversight on selected consulting engagements.
· Manage and develop consulting staff, including assigning and reviewing work, providing guidance, and as needed, performing a portion of the work of the staff they manage.
· Work with other practice leaders on staff management and development and be responsible for conducting performance appraisals and compensation reviews.
What We Are Looking For
Professional Qualifications
· Bachelor’s degree, preferably in mathematics, statistics, actuarial science, economics, or some other analytic field
· Achievement of Fellow of the Society of Actuaries
· 10+ years of relevant experience in commercial and ACA health insurance, including significant responsibility for business development, market expansion, or client growth.
· Demonstrated success developing and executing business development strategies, winning new consulting engagements, and growing existing client accounts.
· Experience leading market and competitive assessments and translating the findings into initiatives that strengthen profitability or customer value.
· Strong executive-level relationship-building, communication, and presentation skills, including the ability to influence senior clients and internal stakeholders.
· Passion to help clients solve their most pressing problems using quantitative thinking and analytical tools
Preferred Qualifications
· Prior experience with benefits and/or pricing for commercial plans offered through state or federally facilitated exchanges
· Experience developing strategic partnerships, go-to-market plans, or new consulting service offerings in the health insurance market.
· Ability to translate actuarial and analytical capabilities into differentiated client value propositions and commercially viable consulting solutions.
· Strong organizational skills and ability to manage multiple projects and deadlines
· Strong creative problem-solving skills with an innovative and entrepreneurial mindset
· Strong knowledge of Excel and database/statistical analysis languages (SQL or SAS)
· Experience leading project teams and mentoring more junior actuarial staff members.
· Willingness to work with clients and teams located in Pacific Time Zone
Required
Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.
The Team
Milliman’s San Diego Health Practice provides consulting services to clients in the healthcare industry, including health plans, government payers, providers, and reinsurers.
Location
The expected application deadline for this job is 11/13/2026. This role is based out of the Milliman office in San Diego, CA, but candidates hired into this role may work remotely anywhere in the US.
Compensation
The overall range for this role is $134,232 - $254,776. For candidates residing in:
- Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia the range is $154,367 - $254,776.
- All other locations the range is $134,232 - $221,544.
A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.
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 paid holidays per year.
· Family Building Benefits – Includes adoption and fertility assistance.
· Paid Parental Leave – 11 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.
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.