We are looking for a Director of Business Development with 15+ years of relevant experience in the managed Medicaid and individual/group commercial health insurance space. This position provides excellent opportunities for professional growth in the healthcare actuarial field.
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.
What You Will Do
In this role, you will:
- Lead the identification, evaluation, and pursuit of new business opportunities, partnerships, and client relationships that deliver long-term value and support growth objectives.
- Oversee the creation of strategic opportunities to expand markets, strengthen client relationships, and increase the value of Milliman’s solutions and services.
- Serve as a senior advisor to clients, providing actuarial and business insights in the areas of reserving, pricing, forecasting, reinsurance, and enterprise risk management.
- Manage actuarial and cross-functional teams in the development of clear, concise, and decision-useful client deliverables.
- Leverage market knowledge, competitive intelligence, and client needs analysis to define and advance strategic initiatives that increase profitability and organizational value.
- Design and guide data-driven analyses using claims data, complex modeling, and actuarial methods to support client strategy and business growth.
- Build and maintain strong relationships with current and prospective clients by understanding their business needs, identifying opportunities, and developing tailored solutions.
- Lead multiple functions, projects, or client relationships, while helping shape functional strategies, objectives, and approaches that support business development infrastructure.
- Manage changing priorities in a dynamic environment while influencing senior stakeholders and advancing strategic growth efforts.
What We Are Looking For
Professional Qualifications
- 15+ years of related actuarial and/or business development experience
- Subject matter expertise in managed Medicaid and individual/group commercial health insurance
- Bachelor of Science required
- FSA certification required
- Demonstrated experience leading business development strategy, client growth, and market expansion initiatives
- Executive leadership experience managing actuarial and cross-functional teams
- Experience defining strategic initiatives and using market and competitive intelligence to drive growth
- Expertise in pricing, reserving, forecasting, reinsurance, and enterprise risk management
- Advanced proficiency in Microsoft Office Suite
- Programming knowledge with SAS and Excel VBA
Personal Qualifications
- Exceptional communication, presentation, and stakeholder engagement skills
- Strong relationship-building and influencing skills with senior clients and internal leaders
- Strong time management and people leadership skills
- Ability to identify strategic opportunities and translate client needs into actionable solutions
- Experience working in a dynamic environment with adaptability, sound judgment, and integrity
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
The San Diego Health practice includes employees with diverse areas of experience and expertise in the pharmacy space. Current employees include those that have worked as actuaries, PBM analysts/consultants, pharmacists, and pharmacy technicians.
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 June 2, 2026
Compensation
The overall range for this role is $203,200 - $397,210. 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 $233,680 - $397,210.
- All other locations the range is $203,200 - $345,400.
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 – Up to 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.
#LI-REMOTE
Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThis 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 San Francisco, California, USA Office
650 California St, 21st Floor, San Francisco, CA, United States, 94108-2702
Milliman Walnut Creek, California, USA Office
2175 N. California Blvd, Suite 810, Walnut Creek, CA, United States, 94596
Similar Jobs
What you need to know about the San Francisco Tech Scene
Key Facts About San Francisco Tech
- Number of Tech Workers: 365,500; 13.9% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Google, Apple, Salesforce, Meta
- Key Industries: Artificial intelligence, cloud computing, fintech, consumer technology, software
- Funding Landscape: $50.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Sequoia Capital, Andreessen Horowitz, Bessemer Venture Partners, Greylock Partners, Khosla Ventures, Kleiner Perkins
- Research Centers and Universities: Stanford University; University of California, Berkeley; University of San Francisco; Santa Clara University; Ames Research Center; Center for AI Safety; California Institute for Regenerative Medicine


