Actuarial – Health Senior Manager – Commercial Pricing Level Funded

Location: Remote (preference hybrid in Atlanta, Boston, Chicago, Milwaukee, Philadelphia, San Francisco, Tampa, Washington DC)

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. It fosters a team‑oriented culture that values diversity and encourages innovative ideas, helping clients achieve strategic objectives.

As a Senior Manager, you will work alongside Oliver Wyman’s industry leaders and other consultants, managing client projects, overseeing workflow, and supporting the development of team members.

• 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 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.
• Support regulatory changes and implementation.
• Evaluation of provider contracts and impact of changes on rates.
• Analysis of value‑based care and other risk‑taking arrangements from 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.

• Bachelor’s or master’s degree in Actuarial Science, Mathematics, Statistics, Finance, or a related field.
• 7+ years of actuarial experience in the group commercial industry, preferably in consulting, and specific experience with level‑funded products.
• Associate (ASA) or Fellow (FSA) of the Society of Actuaries.
• Ability to demonstrate autonomy with minimal principal involvement while managing medium‑to‑large scale projects/work streams.
• Record of rapid learning, high performance, and professional growth.
• Strong written and oral communication skills.
• Excellent time management skills.
• Understanding of collaboration and ability to work effectively in a team.
• Deep critical‑thinking and problem‑solving ability.
• Highly motivated and willing to work in a dynamic environment.
• Strong skills with MS Excel, SAS, SQL, R, Python, VBA, or other programming languages.

The Actuarial Practice of Oliver Wyman invests in people, fostering a safe and inclusive environment, promoting an ownership culture, and celebrating success. It offers a performance‑based pay program with bonuses and a comprehensive benefits package.

Students pursuing actuarial credentials benefit from a competitive study program, paid exam study time, financial support for exam materials, and salary increases after passing exams.

Oliver Wyman is committed to 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.

Salary: The applicable base salary range for this role is $152,000 – $210,000. Base pay will be determined on factors such as experience, skills, training, location, certifications, education, exams, and applicable wage requirements. The position may be eligible for performance‑based incentives.

Job : R_340433