Oliver Wyman Actuarial - Health Senior Manager - Medicare Advantage Experience
Core
Senior Manager leading Medicare Advantage bid development, product modeling, pricing, and claims analysis for top-tier insurance clients.
Role type
Senior Manager, Health Actuarial Consultant
Builds
Health insurance products, pricing models, and bid strategies for Medicare Advantage markets
Domain
Health Insurance / Actuarial Science
Required skills
Medicare Advantage bid development, health insurance product modeling, pricing assumptions and trends, medical and pharmacy claims analysis, regulatory change implementation, provider contract evaluation, value-based care analysis, risk score evaluation, MS Excel, SAS, SQL, R, Python, VBA
Preferred skills
Actuarial consulting experience, startup operations feasibility studies, total-cost-of-care management, population health analysis
Technologies
SAS, SQL, R, Python, VBA, MS Excel
Responsibilities
Lead and certify Medicare Advantage bid development (Part C and D), set pricing assumptions and methodologies, analyze medical and pharmacy claims, support regulatory changes, evaluate provider contracts, analyze value-based care arrangements, conduct opportunity analyses for cost management, evaluate risk scores and care management programs
Seniority
Senior Manager, hands-on IC with team leadership