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Oliver Wyman

Oliver Wyman Actuarial – Health Manager - Medicare Advantage Experience

Oliver Wyman, Milwaukee, Wisconsin, United States, 53244

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Overview

Increase your chances of an interview by reading the following overview of this role before making an application. Oliver Wyman Actuarial – Health Manager - Medicare Advantage Experience

Location: Hybrid with the following office locations: Atlanta, Boston, Chicago, Milwaukee, San Francisco, Washington DC

Responsibilities 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 with a willingness to work in a dynamic environment

Strong skills with MS Excel, SAS, SQL, R, Python, VBA or other programming languages

Employer and Diversity Statement Oliver Wyman is a global management and actuarial consulting firm, part of Marsh McLennan. The Health Practice seeks to grow a collaborative, diverse team that delivers leading-edge work for health care clients, while offering opportunities for professional development and credential support. Marsh McLennan and its Affiliates are EOE and committed to equal employment opportunity.

Note: This posting reflects a sample overview of the role and is open to hybrid work arrangements consistent with company policy.

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