Oliver Wyman Actuarial – Health Senior Manager – Medicare Advantage Experience

Marsh McLennan•Tampa, FL

12d•$140,000 - $210,000•Hybrid

About The Position

Oliver Wyman’s Health Practice is seeking a Health Manager or Senior Manager with Medicare Advantage experience. In this role, you will work alongside the firm’s industry leaders and consultants on a broad range of client projects, with significant interaction with clients including leading insurance companies and provider health systems. You will oversee project workflows, manage the completion of multiple workstreams, and actively support the professional development of team members. Potential work includes Medicare Advantage bid development and certification for Part C and Part D; health insurance product development, modeling, and analysis; pricing assumptions, trends, and methodologies; medical and pharmacy claims analysis; feasibility studies; regulatory-change support; provider contract evaluation; value-based care and risk-arrangement analysis; total-cost-of-care and population-health opportunities; risk-score evaluation and coding support; and care-management program evaluation. The Health Practice combines actuarial science, data science, and information technology to address client challenges. It emphasizes collaboration, diverse perspectives, professional growth, and delivering value to clients. This position is hybrid, with colleagues expected to work in their local office or onsite with clients at least three days per week. The applicable base salary range is $140,000–$210,000, and the role may also be eligible for performance-based incentives.

Requirements

Bachelor’s or master’s degree required.
At least 7 years of actuarial experience in the Medicare Advantage industry.
Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential required.
Ability to work autonomously with minimal Principal involvement while managing medium-to-large-scale, generally higher-complexity projects or workstreams.
Strong written and oral communication skills.
Excellent time-management skills.
Ability to collaborate and work effectively in a team setting.
Strong critical-thinking and problem-solving skills.
High motivation and willingness to work in a dynamic environment.
Strong skills with MS Excel, SAS, SQL, R, Python, VBA, or other programming languages.

Nice To Haves

Degree in Actuarial Science, Mathematics, Statistics, Finance, or a related field.
Actuarial consulting experience.

Responsibilities

Oversee project workflows and manage the completion of multiple workstreams.
Support the professional growth and development of team members.
Lead and certify Medicare Advantage bid development for Part C and Part D.
Develop, model, and analyze health insurance products for Medicare Advantage markets.
Set pricing assumptions, trends, and pricing methodologies.
Analyze medical and pharmacy claims, including benchmarking against applicable industry experience.
Conduct feasibility studies for startup operations or product expansions for payers, providers, and payer-provider partnerships.
Support regulatory changes and their implementation.
Evaluate provider contracts and the impact of contract changes on rates.
Analyze value-based care and other risk-taking arrangements from payer and provider perspectives.
Identify opportunities to improve total-cost-of-care management and population health.
Evaluate risk scores and assist with improving risk-score coding and capture.
Evaluate care-management programs.