Oliver Wyman Actuarial – Health Senior Manager – Medicare Advantage Experience

Marsh McLennan • Tampa, FL

4d • $140,000 - $210,000 • Hybrid

About The Position

Oliver Wyman’s Health Practice is hiring a Health Manager or Senior Manager with Medicare Advantage experience. The role contributes to a broad range of client projects, with significant interaction with clients including leading insurance companies and provider health systems. The Senior Manager oversees project workflows and multiple workstreams, and supports the professional development of team members. The position is hybrid, with office locations listed in Atlanta, Boston, Chicago, Milwaukee, Philadelphia, San Francisco, Tampa, and Washington, DC. Marsh colleagues are expected to work from their local office or client sites at least three days per week.

Potential work includes Medicare Advantage bid development and certification for Parts C and D; product development, modeling, and analysis; pricing assumptions and methodologies; claims analysis and benchmarking; 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 practice describes a collaborative and inclusive culture that values diverse perspectives, professional growth, and high-quality client service. Oliver Wyman also supports actuarial students through exam-related study time, financial support for study materials and exam costs, and salary increases and incentives tied to exam progress. Compensation includes a performance-based pay program and may include performance incentives in addition to base salary.

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 abilities.
• 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 preferred.
• Actuarial consulting experience preferred.
• A track record of and desire for rapid learning, high performance, and professional growth.

Responsibilities

• 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 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 help improve risk score coding and capture.
• Evaluate care management programs.
• Oversee project workflows and manage the completion of multiple workstreams.
• Support team members’ professional development and growth.
• Interact with clients, including insurance companies and provider health systems.

Benefits

• Competitive benefits package, including health and welfare benefits.
• Tuition assistance.
• 401(k) savings and other retirement programs.
• Employee assistance programs.
• Performance-based incentives, potentially including year-end bonuses based on personal and corporate performance.
• Actuarial exam study program, including paid time off for exam study and exam day, financial support for study materials, reimbursement of exam costs, and salary increases after passing exams.
• First-time exam pass bonuses and other financial incentives.
• Supportive and flexible workloads for actuarial students.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior