Company:Oliver Wyman
Description:Health Manager OR Senior Manager - Medicare Advantage ExperienceLocation: Hybrid preferred with the following office locations of Atlanta, Boston, Chicago, Milwaukee, Philadelphia, San Francisco, Tampa, Washington DC
Job DescriptionAs 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 provider health systems. 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.
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:
- Lead and certify Medicare Advantage bid development, both Part C and D
- Health insurance product development, modeling, and analysis for the Medicare Advantage 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
Qualifications and desired skills - Bachelor's or master's degree required, preferably in Actuarial Science, Mathematics, Statistics, Finance or a related field
- 7+ years of actuarial experience in the Medicare Advantage industry, with a preference for actuarial consulting
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credentials required
- 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
The applicable base salary range for this role is $140,000 - $210,000.
The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis.
In addition to the base salary, this position may be eligible for performance-based incentives.
We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
