Oliver Wyman Actuarial – Health Manager - Medicare Advantage Experience

Marsh McLennan • Boston, MA

12d • Hybrid

About The Position

The Manager will work alongside Oliver Wyman industry leaders and consultants on a broad range of client projects, with significant client interaction over time. The role is responsible for managing project workstreams, their completion, and the teams delivering them. The work focuses on actuarial consulting for health organizations, particularly Medicare Advantage, and may involve supporting insurance companies, provider health systems, and payer-provider partnerships.

Potential work includes Medicare Advantage product development and analysis; Part C and Part D bid development; setting pricing assumptions, trends, and methodologies; medical and pharmacy claims analysis; feasibility studies; regulatory change implementation; provider contract evaluation; value-based care and risk arrangements; total-cost-of-care and population-health opportunities; risk-score coding and capture; and care-management program evaluation.

The position is based in a hybrid work environment, with listed office locations in Atlanta, Boston, Chicago, Milwaukee, San Francisco, and Washington, DC. Marsh McLennan states that colleagues are expected to work in their local office or onsite with clients at least three days per week, with office-based teams identifying at least one weekly anchor day for in-person collaboration.

Requirements

• Bachelor’s or Master’s degree; a degree in Actuarial Science, Mathematics, Statistics, Finance, or a related field is preferred.
• At least 4 years of actuarial experience in the Medicare Advantage industry, focused on Part D bids.
• Progress toward 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.
• Ability to collaborate and work effectively in a team setting.
• Deep 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

• Actuarial consulting experience is preferred.
• A degree in Actuarial Science, Mathematics, Statistics, Finance, or a related field is preferred.

Responsibilities

• Manage project workstreams, oversee their completion, and manage the teams working on them.
• Contribute to a broad range of client projects and work with Oliver Wyman’s industry leaders and consultants.
• Develop health insurance products and perform modeling and analysis for Medicare Advantage markets.
• Support Medicare Advantage bid development for Part C and Part D.
• 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 involving payers, providers, or 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.
• Assess 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.
• Interact with clients, including insurance companies and provider health systems.

Benefits

• Performance-based pay, including year-end bonuses based on personal and corporate performance.
• Competitive benefits; the posting directs candidates to the US Benefits | Marsh McLennan page for details.
• Actuarial exam study program with paid time off for exam study and exam day.
• Financial support for exam materials and reimbursement of exam costs.
• Salary increases after passing actuarial exams.
• First-time exam pass bonuses.
• Supportive and flexible workload arrangements for actuarial students pursuing credentials.
• Safe and inclusive work environment, employee groups, opportunities to develop a personal brand, and recognition of successes and performance.

What This Job Offers

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