Oliver Wyman Actuarial – Health Senior Manager – Commercial Pricing with Level Funded Experience
About The Position
As a Senior Manager, you will work alongside and learn from Oliver Wyman’s industry leaders and other consultants while contributing to a broad range of client projects. You will have significant interaction with Oliver Wyman’s clients, which include top tier insurance companies and regulatory agencies. You will be responsible for overseeing the workflow of projects, managing the completion of multiple workstreams. You will actively support the development of team members, contributing to their professional growth. Potential projects may include: Lead the development of pricing and rating processes for level-funded and other group commercial health plans Health insurance product development, modeling, and analysis for the products in the commercial 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
Requirements
- Bachelor’s or master’s degree, preferably in Actuarial Science, Mathematics, Statistics, Finance or a related field
- 7+ years of actuarial experience in the group commercial industry, with a preference for actuarial consulting, and specific experience working with level-funded products
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credentials
- 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
Responsibilities
- Lead the development of pricing and rating processes for level-funded and other group commercial health plans
- Health insurance product development, modeling, and analysis for the products in the commercial 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
Benefits
- Oliver Wyman offers a performance-based pay program that rewards colleagues for the contributions they make to our business results, including year-end bonuses based on personal and corporate performance.
- We also offer an impressive array of benefits. Explore all the benefits offered at US Benefits | Marsh McLennan.
- In addition to competitive benefits, the Practice is dedicated to the success of actuarial students in their pursuit to become credentialed actuaries.
- Oliver Wyman offers a competitive study program which includes paid time off for exam study and exam day, financial support for materials, reimbursement of exam costs and salary increases subsequent to passing exams.
- Financial incentives such as first-time pass bonuses are provided in addition to the generous salary increases.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
