Actuarial – Health Senior Manager – Medicare Advantage

Oliver Wyman Actuarial – Health Senior Manager – Medicare Advantage Experience

Join to apply for the Oliver Wyman Actuarial – Health Senior Manager – Medicare Advantage Experience role at Oliver Wyman
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Location: Hybrid with office locations in Atlanta, Boston, Chicago, Milwaukee, Philadelphia, San Francisco, Tampa, Washington DC.

Oliver Wyman is a global leader in management consulting and actuarial consulting. With offices in 60 cities across 29 countries, Oliver Wyman combines deep industry knowledge with specialized expertise in strategy, operations, risk management, and organization transformation. The firm has more than 5,000 professionals around the world who work with clients to optimize their business, improve their operations and risk profile, and accelerate their organizational performance to seize the most attractive opportunities.

Oliver Wyman is a wholly owned subsidiary of Marsh McLennan (NYSE: MMC).

Oliver Wyman provides customized actuarial services and strategic insight, supporting clients as they strive to exceed their business objectives. The Actuarial Health Practice works with health organizations to manage their financial risks and support health care delivery using advanced actuarial and modeling techniques.

As a Senior Manager, you will work alongside and learn from Oliver Wyman’s industry leaders and other consultants while contributing to a broad range of client projects. You will have significant interaction with Oliver Wyman’s clients, which include top‑tier insurance companies and provider health systems.

• Oversee the workflow of projects and manage the completion of multiple work streams.
• Actively support the development of team members, contributing to their professional growth.

• Lead and certify Medicare Advantage bid development, both Part C and Part D.
• Health insurance product development, modeling, and analysis for the Medicare Advantage markets.
• Set pricing assumptions, trends, and pricing methodologies.
• Medical and pharmacy claims analysis, including benchmarking to applicable industry experience.
• Feasibility studies for startup operations or expansions of new products for payers, providers, or payer‑provider partnerships.
• Support of regulatory changes and implementation.
• Evaluation of provider contracts and the impact of changes on rates.
• Analysis of value‑based care and other risk‑taking arrangements from both the payer and provider perspectives.
• Opportunity analyses for improved total‑cost‑of‑care management and population health.
• Evaluation of risk scores and assistance with improving risk score coding/capture.
• Evaluation of care management programs.

• Bachelor’s or master’s degree required, preferably in Actuarial Science, Mathematics, Statistics, Finance or a related field.
• 7+ years of actuarial experience in the Medicare Advantage industry, with a preference for actuarial consulting.
• Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credentials required.
• Ability to demonstrate autonomy with minimal Principal involvement while managing medium‑to‑large scale projects/work streams, generally with higher complexity.
• A track record of, and desire for, rapid learning, high performance, and professional growth.
• Strong written and oral communication skills.
• Excellent time management skills.
• Understanding of the value of collaboration and the ability to work effectively in a team setting.
• Deep critical‑thinking skills and problem‑solving ability.
• Highly motivated individual and willingness to work in a dynamic environment.
• Strong skills with MS Excel, SAS, SQL, R, Python, VBA or other programming languages.

The Actuarial Practice of Oliver Wyman seeks to invest in its people by fostering a safe and inclusive environment, respecting and welcoming different perspectives, promoting an ownership culture, providing opportunities for individuals to develop their personal brand, and celebrating successes and rewarding performance. Oliver Wyman offers a performance‑based pay program that rewards colleagues for the contributions they make to our business results, including year‑end bonuses based on personal and corporate performance.

We also offer an impressive array of benefits, including support for actuarial students pursuing credentials.

Oliver Wyman is committed to the principles for equal employment opportunity and complies with all relevant federal, state, and local laws. Marsh McLennan and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.