JOB DESCRIPTION: MANAGER – MEDICARE ADVANTAGE EXPERIENCE

Location: Hybrid with the following office locations of Atlanta, Boston, Chicago, Milwaukee, San Francisco, Washington DC

WHAT WE DO

Oliver Wyman provides customized actuarial services and strategic insight, supporting clients as they strive to exceed their business objectives. Our exceptional client and employee retention exemplify our commitment to relationships built on trust, responsiveness and clear communication.
The Actuarial Health Practice of Oliver Wyman works with health organizations to manage their financial risks and support health care delivery by using advanced actuarial and modeling techniques and has over 50 employees across 6 offices in North America. The Health Practice of Oliver Wyman strives to be the consulting firm of choice for clients and employees, and to be recognized as the premier health actuarial consultancy by fostering the power of ideas to lead our industry, consistently helping clients achieve their strategic objectives, and gaining trusted advisor status. The practice seeks to inspire a team-oriented culture which fosters free flowing ideas, values diversity, and allows for challenges to the status quo. Its colleagues are proud to perform exciting, diverse, and leading-edge work.
The Health Practice of Oliver Wyman is rapidly growing and seeking individuals who are highly motivated to expand our team. The practice seeks to inspire a collaborative, team-based culture which fosters free flowing ideas, values diversity and allows for challenges to the status quo. Our colleagues are proud to perform exciting, diverse, and leading-edge work.
Our vision is to discover what lies beyond the obvious, achieve breakthroughs for our clients, and persist as an industry leader. Our mission is to be the leader in the integration of actuarial science, data science, and information technology to solve our clients’ most demanding challenges. We combine traditional actuarial principles with non-traditional solutions and communicate honestly and independently. We believe that diverse perspectives and approaches are business imperatives, and these can only stem from a diverse group of people. Investing in our people and local communities while delivering unequaled value to our clients is core to our mission at Oliver Wyman.

JOB DESCRIPTION

As a Manager, you will work alongside and learn from Oliver Wyman’s industry leaders and other consultants while contributing to a broad range for client projects. You will eventually have significant interaction with Oliver Wyman’s clients, which include top tier insurance companies and provider health systems. You will have responsibility for workstreams of the projects, managing the completion of those workstreams and the teams.
The Health Practice of Oliver Wyman is rapidly growing and seeking individuals who are highly motivated to expand our team. The practice seeks to inspire a collaborative, team-based culture which fosters free flowing ideas, values diversity and allows for challenges to the status quo. Its colleagues are proud to perform exciting, diverse, and leading-edge work.

Potential projects may include:

• Health insurance product development, modeling, and analysis for the Medicare Advantage markets
• Medicare Advantage bid development, both Part C and D
• Setting 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

QUALIFICATIONS AND DESIRED SKILLS

• Bachelor’s or Master’s degree required, preferably in Actuarial Science, Mathematics, Statistics, Finance or a related field
• 4+ years of actuarial experience in the Medicare Advantage industry focused on Part C bids, with a preference for actuarial consulting experience
• Progress towards 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
• 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

Please refer the Job description for details