Oliver Wyman Actuarial – Health Senior Manager – Commercial Pricing with Level F
National African-American Insurance Association (NAAIA), Atlanta, Georgia, United States, 30383
Location:
Remote (preference hybrid in Atlanta, Boston, Chicago, Milwaukee, Philadelphia, San Francisco, Tampa, Washington DC)
Company Overview 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.
Job Description 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
Qualifications and Desired Skills
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
Why Work for Us The Actuarial Practice of Oliver Wyman seeks to invest in its people by fostering a safe and inclusive environment, respecting and welcoming different perspectives, promoting an ownership culture, providing opportunities for individuals to develop their personal brand, and celebrating successes and rewarding performance. There are employee groups for: the LGBT+ community, racially and ethnically diverse employees, women, family life, introverts and veterans of military service at Oliver Wyman. Members act as "reverse mentors" to Oliver Wyman leaders on a regular basis, ensuring Oliver Wyman continues to embed inclusion issues in its global agenda. 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. The Practice's managers understand the demands and dedication required to pass actuarial exams and are supportive and flexible with the actuarial students' work loads.
Salary and Incentives The applicable base salary range for this role is $152,000 - $210,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, exams, 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.
Equal Employment Opportunity Oliver Wyman is committed to the principles for equal employment opportunity and complies with all relevant federal, state, and local laws. Marsh McLennan and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
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Remote (preference hybrid in Atlanta, Boston, Chicago, Milwaukee, Philadelphia, San Francisco, Tampa, Washington DC)
Company Overview 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.
Job Description 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
Qualifications and Desired Skills
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
Why Work for Us The Actuarial Practice of Oliver Wyman seeks to invest in its people by fostering a safe and inclusive environment, respecting and welcoming different perspectives, promoting an ownership culture, providing opportunities for individuals to develop their personal brand, and celebrating successes and rewarding performance. There are employee groups for: the LGBT+ community, racially and ethnically diverse employees, women, family life, introverts and veterans of military service at Oliver Wyman. Members act as "reverse mentors" to Oliver Wyman leaders on a regular basis, ensuring Oliver Wyman continues to embed inclusion issues in its global agenda. 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. The Practice's managers understand the demands and dedication required to pass actuarial exams and are supportive and flexible with the actuarial students' work loads.
Salary and Incentives The applicable base salary range for this role is $152,000 - $210,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, exams, 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.
Equal Employment Opportunity Oliver Wyman is committed to the principles for equal employment opportunity and complies with all relevant federal, state, and local laws. Marsh McLennan and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
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