Oliver Wyman Actuarial – Health Manager - Medicare Advantage Experience

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.

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