Senior Actuary, Value-Based Payments (Medicare/Medicaid)
Milliman
Seattle, WA · Posted November 2, 2026
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Where Seattle, WA ranks
Where Seattle, WA placed in our monthly rankings, month by month. Each month stays online at its own address.
November 2026
- #1Cities with the most jobs that do not need a four-year degree in the Pacific Northwest316 jobs · of 8
- #1Best cities for software and engineering jobs in the Pacific Northwest1,776 openings · of 14
- #2Best cities for energy and utilities pay after cost of living$180k · of 18
- #2Best cities for entry-level jobs that want AI skills in the Pacific Northwest17% · of 12
- #2Best cities for AI-skill jobs in the Pacific Northwest26% · of 17
- #2Best cities for software and engineering jobs in the West Coast1,776 openings · of 60
Rankings about finance jobs
- Best cities for finance jobs #1 New York (1,932 openings)
- Best cities for finance pay after cost of living #1 San Mateo ($162k)
- Most requested AI skills in finance jobs #1 AI tools in daily work (4.3%)
- AI tools named most often in finance jobs #1 Claude (0.55%)
- Employers with the most finance jobs #1 Amazon (475 roles)
Pay compared with the market
This listing does not state pay. Across 25 open senior actuary listings that state pay, the middle half runs $169,500 to $192,000 and the median is $175,000.
Listed pay is what employers advertise, not what people are paid.
How AI is used in this kind of work
AI use among actuaries is little observed so far. Measured exposure for actuaries: 5% (little observed).
Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.
About the job
...Milliman's Seattle Health Practice seeks an experienced health actuary with Value Based Payments (VBP) experience in Medicare/Medicaid to join our Seattle team. You will lead projects, build models, and mentor staff while explaining complex concepts to clients. Required...