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Nicholas Johnson, FSA, MAAA

Principal, Consulting Actuary
Seattle, WA, US

Tel: +1 206 5045941

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Professional Designations

  • Fellow, Society of Actuaries
  • Member, American Academy of Actuaries


  • BA, Mathematics – Augustana College (IL)
  • MS, Applied Statistics – Portland State University (OR)

Current Responsibility

Nick Johnson is a consulting actuary specializing in healthcare in Milliman’s Seattle office. He joined the firm in 2009.


Nick’s primary expertise is in helping clients understand the financial implications of trends and changes in the healthcare delivery system, particularly in Medicare and dual-eligible populations. He has worked with a broad range of clients, including health plans, integrated delivery systems, provider groups, reinsurers, and the Veterans Health Administration. He has significant experience in Medicare Advantage, Medicare Part D, Medicaid, commercial, and ACA markets.

Nick’s primary focus areas, including examples of recent analyses include:

Medicare Advantage

  • Bid development and certification
  • HCC risk score monitoring and forecasting
  • Capitation and risk-sharing contract support for health plans and providers

Medicare Part D

  • Bid development and certification
  • Formulary impact analysis\research and tool development
  • Research and tool development

Managed long-term services and supports (MLTSS)

  • Medicaid MLTSS RFP review and response support
  • Monitoring nursing home to HCBS transition rates
  • LTSS forecasting and analysis of programmatic changes for Veterans Health Administration
  • PACE capitation rate setting

Reinsurance and stop loss

  • Work at Milliman

    • “I was offered a chance to come in, shake things up, create something."
    Work at Milliman