Oliver Wyman Actuarial – Health Manager - Medicare Advantage Experience

Overview

Oliver Wyman Actuarial – Health Manager - Medicare Advantage Experience. Location: Hybrid with office locations in Atlanta, Boston, Chicago, Milwaukee, San Francisco, Washington DC.

Responsibilities

• As a 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 eventually have significant interaction with Oliver Wyman’s clients, which include top tier insurance companies and provider health systems. You will have responsibility for workstreams of the projects, managing the completion of those workstreams and the teams.


• Potential projects may include:


• 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

EEO and Equal Opportunity

Oliver Wyman is committed to 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.

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