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Senior Manager – Health, Medicare Advantage Experience
Marsh McLennan. Work alongside Oliver Wyman industry leaders and consultants on client projects .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare Advantage bid development, actuarial analysis, and health insurance product modeling, while effectively managing complex projects and fostering team development. Proficient in evaluating risk arrangements and implementing regulatory changes to enhance population health management.
Highest-signal resume keywords
Medicare Advantage Bid DevelopmentActuarial ExperienceAssociate of the Society of Actuaries (ASA)Strong Communication SkillsProject Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Actuarial AnalysisHealth Insurance Product ModelingPricing AssumptionsRisk Score EvaluationData Analysis
Soft Skills
Critical ThinkingProblem SolvingTime ManagementCollaboration
Tools & Technologies
MS ExcelSASSQLRPythonVBA
Certifications & Qualifications
Fellow of the Society of Actuaries (FSA)
Industry Keywords
Medicare AdvantageValue-Based CareTotal-Cost-of-Care ManagementProvider ContractsHealth Systems
Tech Stack
Tools & technologiesPythonSQLVBA
About the role
Key responsibilities & impact- Work alongside Oliver Wyman industry leaders and consultants on client projects
- Interact extensively with top-tier insurance companies and provider health systems
- Oversee project workflow and manage completion of multiple workstreams
- Support development and professional growth of team members
- Lead and certify Medicare Advantage Part C and Part D bid development
- Develop, model, and analyze health insurance products for Medicare Advantage markets
- Set pricing assumptions, trends, and methodologies
- Analyze medical and pharmacy claims and benchmark applicable industry experience
- Conduct feasibility studies for startup operations and new product expansions
- Support regulatory changes and implementation
- Evaluate provider contracts and impacts of changes on rates
- Analyze value-based care and other risk-taking arrangements
- Identify opportunities to improve total-cost-of-care management and population health
- Evaluate risk scores and improve risk score coding/capture
- Evaluate care management programs
Requirements
What you’ll need- 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
- Preference for actuarial consulting experience
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credentials required
- Ability to work autonomously with minimal Principal involvement while managing medium-to-large scale, complex projects/workstreams
- Strong written and oral communication skills
- Excellent time management skills
- Ability to collaborate and work effectively in a team setting
- Deep critical-thinking and problem-solving skills
- Motivation to work in a dynamic environment
- Strong skills with MS Excel, SAS, SQL, R, Python, VBA, or other programming languages
Benefits
Comp & perks- Paid time off for actuarial exam study and exam day
- Financial support for exam materials
- Reimbursement of exam costs
- Salary increases after passing exams
- First-time pass bonuses
- Performance-based year-end bonuses based on personal and corporate performance
- Health and welfare benefits
- Tuition assistance
- 401K savings
- Other retirement programs
- Employee assistance programs
- Flexible hybrid work environment
- Professional development opportunities
- Employee groups supporting LGBT+, racially and ethnically diverse employees, women, family life, introverts, and veterans