Job Title: Principal Actuary - Medicare
Company: Global Consulting Firm
Location: Various locations, remote
About: 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 highly skilled and experienced Principal Actuary to join our Medicare Advantage and Part D Bid Team. In this role, you will lead strategic initiatives and provide expert guidance on actuarial matters related to Medicare Advantage and Part D programs, leveraging your extensive experience and industry knowledge.
Key Responsibilities:
- Strategic Leadership: Lead the development and execution of strategic initiatives for Medicare Advantage and Part D bid submissions, collaborating with cross-functional teams to drive innovation and optimize performance.
- Bid Pricing and Financial Analysis: Oversee the development of bid pricing models and conduct in-depth financial analyses to assess the financial implications of various pricing strategies and scenarios.
- Risk Adjustment Optimization: Provide thought leadership in the development and implementation of advanced risk adjustment methodologies, leveraging predictive modeling techniques and data analytics to enhance accuracy and effectiveness.
- Client Engagement: Serve as a primary point of contact for clients, building strong relationships and delivering value-added solutions that address their unique needs and objectives. Present complex actuarial findings and recommendations to senior stakeholders with clarity and confidence.
- Regulatory Compliance: Stay informed of regulatory changes and industry trends impacting Medicare Advantage and Part D programs, ensuring compliance with CMS guidelines and other regulatory standards in all actuarial analyses and bid submissions.
- Team Leadership: Mentor and coach junior team members, providing guidance on technical skills development, project management, and client engagement best practices. Foster a collaborative and inclusive team culture that encourages knowledge sharing and professional growth.
- Thought Leadership: Contribute to the development of thought leadership content and industry publications, showcasing Oliver Wyman's expertise in healthcare actuarial consulting and driving awareness of emerging trends and opportunities.
Qualifications:
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field
- FSA Required
- 10+ years of actuarial experience in the healthcare industry, with a focus on Medicare Advantage and Part D programs.
- Proven track record of success in leading strategic initiatives and driving business results in a consulting environment.
- Expertise in bid pricing, financial analysis, and risk adjustment methodologies, with strong proficiency in actuarial software and programming languages.
- Excellent communication and interpersonal skills, with the ability to build rapport with clients and influence senior stakeholders.
- Strategic thinker with a client-centric mindset and a passion for driving innovation and excellence.
- Demonstrated leadership capabilities, with experience leading and developing high-performing teams.
