Actuarial – Health Senior Manager – Medicare Advantage

Health Manager OR Senior Manager – Medicare Advantage Experience

Location: Hybrid with the following office locations of 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. Our exceptional client and employee retention exemplify our commitment to relationships built on trust, responsiveness and clear communication.

The Actuarial Health Practice of Oliver Wyman works with health organizations to manage their financial risks and support health care delivery by using advanced actuarial and modeling techniques. It has over 50 employees across 6 offices in North America. The Health Practice strives to be the consulting firm of choice for clients and employees, and to be recognized as the premier health actuarial consultancy by fostering the power of ideas to lead our industry, consistently helping clients achieve their strategic objectives, and gaining trusted advisor status.

The practice seeks to inspire a team-oriented culture which fosters free flowing ideas, values diversity, and allows for challenges to the status quo. Its colleagues are proud to perform exciting, diverse, and leading-edge work.

The Health Practice of Oliver Wyman is rapidly growing and seeking individuals who are highly motivated to expand our team. The practice seeks to inspire a collaborative, team-based culture which fosters free flowing ideas, values diversity and allows for challenges to the status quo. Our colleagues are proud to perform exciting, diverse, and leading-edge work.

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. You will be responsible for overseeing the workflow of projects, managing the completion of multiple work streams. You will actively support the development of team members, contributing to their professional growth.

The Health Practice of Oliver Wyman is rapidly growing and seeking individuals who are highly motivated to expand our team. The practice seeks to inspire a collaborative, team-based culture which fosters free flowing ideas, values diversity and allows for challenges to the status quo. Its colleagues are proud to perform exciting, diverse, and leading-edge work.

• Lead and certify Medicare Advantage bid development, both Part C and 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…