Job Title: Senior Manager Actuary - Medicare
Company: Global Consulting Firm
Location: Vaious locations, Remote
About Company: A leading global management consulting firm that combines deep industry knowledge with specialized expertise in strategy, operations, risk management, and organizational transformation. With a commitment to delivering innovative solutions, we empower our clients to navigate complex challenges and drive sustainable growth.
Position Overview: Seeking a dynamic and experienced Senior Manager of Actuarial to join the Medicare Advantage/Part D Bid Team. As a key member of our team, you will play a pivotal role in providing strategic actuarial insights and solutions to clients within the healthcare industry, particularly in the Medicare Advantage and Part D sectors.
Key Responsibilities:
- Bid Strategy Development: Collaborate with cross-functional teams to develop comprehensive bid strategies for Medicare Advantage and Part D programs, leveraging your actuarial expertise to optimize pricing and risk management strategies.
- Bid Pricing and Financial Analysis: Lead the development and validation of bid pricing models, ensuring accuracy and compliance with regulatory requirements. Conduct financial analyses to assess the impact of various pricing scenarios and inform decision-making.
- Risk Adjustment Optimization: Develop innovative approaches to optimize risk adjustment methodologies, incorporating advanced statistical techniques and data analytics to enhance predictive modeling and risk scoring accuracy.
- Client Engagement: Serve as a trusted advisor to clients, providing strategic guidance on actuarial matters related to Medicare Advantage and Part D bid submissions. Present complex actuarial findings and recommendations in a clear and compelling manner to stakeholders at all levels.
- Regulatory Compliance: Stay abreast of evolving regulatory requirements and industry trends related to Medicare Advantage and Part D programs. Ensure compliance with CMS guidelines and other regulatory standards in all actuarial analyses and bid submissions.
- Thought Leadership: Contribute to the development of thought leadership content and industry publications, showcasing Oliver Wyman's expertise in healthcare actuarial consulting and positioning the firm as a leader in the field.
- Team Leadership: Provide mentorship and guidance to junior team members, fostering their professional development and cultivating a culture of excellence within the Medicare Advantage and Part D Bid Team.
Qualifications:
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field; Credentials Required (FSA preferred)
- 8+ years of actuarial experience in the healthcare industry, with a focus on Medicare Advantage and Part D programs.
- Proven track record of success in developing bid strategies, pricing models, and risk adjustment methodologies.
- Strong proficiency in actuarial software and programming languages (e.g., SAS, R, Python) for data analysis and modeling.
- Excellent communication and presentation skills, with the ability to distill complex actuarial concepts into clear and actionable insights.
- Strategic thinker with a client-centric mindset and a passion for driving innovative solutions.
- Demonstrated leadership capabilities, with experience leading cross-functional teams and mentoring junior staff.
