Director of Growth, ACO Builder

Milliman, Inc

Seattle, WA(remote)

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JOB DETAILS
JOB TYPE
Full-time, Employee
SKILLS
Actuarial Skills, Affirmative Action, Alliance/Partner Management, Budget Management, Business Growth, Business Transformation, Career Development, Coaching, Consulting, Customer Acquisition, Customer Relations, Data Analysis, Economics, Employee Benefits, Entrepreneurship, Equal Employment Opportunity (EEO), Establish Priorities, Evangelism, Field Sales, Financial Services, Flexible Spending Accounts, Funding, Healthcare, Healthcare Providers, Human Resources, Incentive Programs, Leadership, Life Insurance, Market Entry Strategy, Market Segmentation, Market Share, Marketing, Marketing Strategy, Mathematics, Medicare, Mentoring, Performance Analysis, Performance Metrics, Power Amplifier, Product Development, Product Marketing, Product Planning, Property and Casualty Insurance, Regulatory Compliance, Resource Utilization, Revenue Growth, Revenue Planning, Risk Management, Sales, Sales Strategy, Statistics, Sustainability, Technical Leadership, Thought Leadership
LOCATION
Seattle, WA
POSTED
30+ days ago
Description
The Opportunity: Own and Scale a Market-Leading VBC Platform

Milliman is a premier global consulting firm that has built a highly successful and credible healthcare provider performance measurement analytics platform, ACO Builder. We are now seeking an entrepreneurial leader to transform this established, high-growth product from an internal "scale-up" to a market-dominant, standalone business.

This is a strategic, high-autonomy leadership role designed for a "player-coach" who wants to build the next generation of ACO solutions. You will have ownership and responsibility for revenue growth, product vision, go-to-market strategy, and long-term growth of the ACO Builder suite. You will have the unique opportunity to build a high-growth software business while leveraging the brand, resources, consultants, and client relationships of the premier actuarial firm.

What You Will Own & Drive


Full Growth Ownership: You will be the sole owner of the ACO Builder revenue growth goals. Your primary mandate is to drive scalable Annual Recurring Revenue (ARR) growth efficiently and within budget. You will work with the ACO Builder CFO and report to the ACO Builder equity principals and board members.
Go-to-Market (GTM) Strategy & Execution: You will design and execute a cohesive GTM strategy, tailoring our value proposition, sales playbook, and marketing efforts to win our two key market segments: Value-Based Payment Enablers and Health Systems. You will oversee ACO Builder's customer acquisition, product adoption, and market expansion strategy and execution.
Product Vision & Unification: You will lead the unification of the product suite and roadmap. You will work with our consulting and development teams to translate complex market needs into a clear, compelling, and market-dominant platform that solves our clients' most urgent performance challenges.
Market Leadership & Evangelism: You will be the external face and "voice of the market" for ACO Builder, building strategic relationships with key accounts, speaking at industry events, and establishing the platform as the definitive thought leader in provider performance analytics.
Team & Culture You will continue building a high-performance, results-oriented team, creating a culture of ownership, speed, and customer-centricity.

Why This is a Unique Opportunity


Resources, collaboration, and mentorship: You will be working with ten highly engaged Milliman principals, each with product development and sales experience, deep subject matter expertise, and a significant industry network. Additionally, you will have at your disposal product development teams, a marketing team, and support from an outside product sales and marketing strategy expert.
Impact & Autonomy: This is a true Director of Growth role. You will be empowered to grow this organization, with the mandate to build a major business line.
The Best of Both Worlds: You get the upside of a "scale-up" combined with the stability, brand, and resources of a premier global firm.
Aligned Rewards: Your success is 100% aligned with the value you create. Your incentives will be aligned with the group of leaders also looking to grow the platform. Your compensation will be heavily tied to the scalable ARR growth and long-term value you build.

Who You Are (Qualifications)


Bachelor's degree in mathematics, statistics, economics, or a related field.
FSA designation
A Proven VBC Expert: 10+ years of experience in healthcare consulting or health-tech leadership. Deep, "in-the-trenches" domain expertise in provider performance measurement and the financial mechanics of value-based care (MSSP, ACO REACH, Medicare Advantage).
An Entrepreneurial "Builder": Proven track record of scaling a product or tech-enabled service, not just selling billable hours. A builder's mentality, comfortable owning a revenue target, and willing to roll up your sleeves to get the job done.
A "Product-First" Strategist: Natural ability to think like a product owner. See the "big picture," identify market gaps, and translate complex client problems into a simple, marketable product vision.
A Market-Facing Leader: Exceptional communication and influencing skills. Comfortable and credible in a room with a health system C-suite or the CEO of a VBC Enabler.
Competitive & Disciplined: Driven to win but understand how to do it efficiently. Experience managing a budget and know how to prioritize investments to get the highest return.

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.

Location

This is a remote position. Candidates hired into this role may work onsite in select Milliman office locations, if they prefer. The expected application deadline for this job is December 29, 2025.

Compensation

The overall salary range for this role is $203,200 - $397,210. A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc. For candidates residing in:


Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Pennsylvania, Virginia, Washington, or the District of Columbia the salary range is $233,680 - $397,210.
All other locations the salary range is $203,200 - $345,400.

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
Employee Assistance Program (EAP) - Confidential support for personal and work-related
401(k) Plan - Includes a company matching program and profit-sharing
Discretionary Bonus Program - Recognizing employee
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 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
Family Building Benefits - Includes adoption and fertility
Paid Parental Leave - Up to 12 weeks of paid leave for employees who meet eligibility
Life Insurance & AD&D - 100% of premiums covered by
Short-Term and Long-Term Disability - Fully paid by

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, 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.

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.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Milliman is an equal opportunity employer

Our company, with the full support of our Chief Executive Officer, is fully committed to the maximum utilization of all human resources and the goals of Equal Employment Opportunity and Affirmative Action. We recruit, hire, train, and promote, and consider qualified applicants for employment, in all job titles without regard to age, ancestry, citizenship status, color, creed, familial status, genetic information, marital status, national origin, political ideology, race, religion, sex, sexual orientation, gender identity, status as an individual with a disability, or veteran status, including qualified disabled veterans, Armed Forces service medal veterans, recently separated veterans, and active duty wartime or campaign badge veterans; and shall not discriminate against any individual, or any other characteristic protected by law.

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

About the Company

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Milliman, Inc