Director of Growth, ACO Builder

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.