Oliver Wyman
Oliver Wyman Actuarial – Health Manager - Medicare Advantage Experience
Oliver Wyman, Chicago, Illinois, United States, 60290
Overview
Oliver Wyman Actuarial – Health Manager with Medicare Advantage Experience. Location: Hybrid with offices in Atlanta, Boston, Chicago, Milwaukee, San Francisco, and Washington, D.C.
Responsibilities
Health insurance product development, modeling, and analysis for the Medicare Advantage markets
Medicare Advantage bid development, both Part C and D
Setting 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
Qualifications And Desired Skills
Bachelor’s or Master’s degree required, preferably in Actuarial Science, Mathematics, Statistics, Finance or a related field
4+ years of actuarial experience in the Medicare Advantage industry focused on Part C bids, with a preference for actuarial consulting experience
Progress towards Associate of the Society of Actuaries (ASA) credentials
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
About Oliver Wyman / Marsh McLennan Oliver Wyman is a global management and actuarial consulting firm. It is part of Marsh McLennan and operates in 60 cities across 29 countries. The Health Practice focuses on helping clients manage financial risk and health care delivery through actuarial methods and data science.
#J-18808-Ljbffr
Responsibilities
Health insurance product development, modeling, and analysis for the Medicare Advantage markets
Medicare Advantage bid development, both Part C and D
Setting 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
Qualifications And Desired Skills
Bachelor’s or Master’s degree required, preferably in Actuarial Science, Mathematics, Statistics, Finance or a related field
4+ years of actuarial experience in the Medicare Advantage industry focused on Part C bids, with a preference for actuarial consulting experience
Progress towards Associate of the Society of Actuaries (ASA) credentials
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
About Oliver Wyman / Marsh McLennan Oliver Wyman is a global management and actuarial consulting firm. It is part of Marsh McLennan and operates in 60 cities across 29 countries. The Health Practice focuses on helping clients manage financial risk and health care delivery through actuarial methods and data science.
#J-18808-Ljbffr