Hybrid Medicare Advantage Actuarial Senior Manager

Oliver Wyman; Washington (District of Columbia); Hybride; USD 140 000 - 210 000; Plein temps

Résumé du poste

Oliver Wyman’s Health Practice seeks a Senior Manager to lead Medicare Advantage projects, including bid development, pricing assumptions, and risk analysis. You will supervise multiple workstreams, mentor junior staff, and collaborate with client teams across payer and provider settings.

Hybrid work in the US with offices in DC area; ASA/FSA preferred; 7+ years of actuarial experience in Medicare Advantage.

Qualifications

• Bachelor’s or master’s degree required, preferably in Actuarial Science, Mathematics, Statistics, Finance or a related field.
• 7+ years of actuarial experience in the Medicare Advantage industry, with a preference for actuarial consulting
• ASA or Fellow of the Society of Actuaries (ASA or FSA) credentials required
• Ability to demonstrate autonomy with minimal Principal involvement while managing medium-to-large scale projects/workstreams, generally with higher complexity.
• A 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

Responsabilités

• 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

Connaissances

Medicare Advantage experience

Autonomy

Communication skills

Time management

Collaboration

Critical thinking

Motivation

Formation

Bachelor’s or Master’s degree in actuarial field

ASA or FSA credential

Outils

MS Excel

SAS

SQL

R

Python

VBA

Description du poste

Oliver Wyman’s Health Practice seeks a Senior Manager to lead Medicare Advantage projects, including bid development, pricing assumptions, and risk analysis. You will supervise multiple workstreams, mentor junior staff, and collaborate with client teams across payer and provider settings.

Hybrid work in the US with offices in DC area; ASA/FSA preferred; 7+ years of actuarial experience in Medicare Advantage.