Senior Manager, Medicare Advantage Actuarial Leader

Marsh Agency; Atlanta (GA); Hybrid; USD 140,000 - 210,000; Full time

Job summary

The Health Practice of Oliver Wyman seeks a Health Manager or Senior Manager with Medicare Advantage experience to lead client engagements, oversee multiple workstreams, and mentor team members in a rapidly growing actuarial consulting practice.

You will collaborate with top insurers and health systems, shaping pricing, product development, claims analysis, and risk adjustment while delivering strategic insights and managing project delivery in a hybrid work model across the United States.

Qualifications

• Bachelor’s or master’s degree required in Actuarial Science, Mathematics, Statistics, Finance or related field.
• ASA or FSA credentials required.

Responsibilities

• Lead Medicare Advantage bid development for Part C and D.
• Support health insurance product development, modeling, and analysis for Medicare Advantage markets.
• Set pricing assumptions, trends, and methodologies.
• Perform medical and pharmacy claims analyses and benchmarking.
• Conduct feasibility studies for startups or expansions of new products.
• Support regulatory changes and implementation.
• Evaluate provider contracts and the impact on rates.
• Analyze value-based care and risk-taking arrangements from payer and provider perspectives.
• Perform total-cost-of-care and population health analyses.
• Evaluate risk scores and assist with scoring/capture improvements.
• Evaluate care management programs.

Skills

Actuarial experience

Communication skills

Time management

Collaboration

Critical thinking

Programming languages (Excel, SAS, SQL

Education

Bachelor's/Master's in Actuarial Science/Math/Statistics/Finance

ASA or FSA credentials

Tools

SAS

SQL

R

Python

Excel

VBA

Job description

The Health Practice of Oliver Wyman seeks a Health Manager or Senior Manager with Medicare Advantage experience to lead client engagements, oversee multiple workstreams, and mentor team members in a rapidly growing actuarial consulting practice.

You will collaborate with top insurers and health systems, shaping pricing, product development, claims analysis, and risk adjustment while delivering strategic insights and managing project delivery in a hybrid work model across the United States.