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Optum

Associate Director, Actuarial Services - Remote

Posted 2 Days Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in Eden Prairie, MN
113K-170K Annually
Senior level
In-Office or Remote
Hiring Remotely in Eden Prairie, MN
113K-170K Annually
Senior level
Lead and manage a small actuarial team to build and maintain models for forecasting, negotiating, and tracking risks in value-based care contracts. Analyze claims and revenue data, provide strategic profitability insights, support Medicare Advantage, Commercial, and Medicaid risk contracting, and communicate recommendations to stakeholders. Mentor analysts and contribute actuarial thought leadership.
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Requisition Number: 2366163
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
As an Associate Director of Actuarial Services , you will be empowered, supported and encouraged to use your actuarial expertise as you build and maintain actuarial models to support financial analysis for our Value-Based Care (VBC) business. You'll find an accelerated actuarial development path to support you in your continuing post-graduate education and certification. The successful candidate will have a strong background in actuarial science, a technical skillset to take on complex VBC modeling and the curiosity and desire to become a thought leader in their areas.
This position manages analysts responsible for assessing and quantifying risk in risk-based contracts across the provider organization and developing and maintaining actuarial models used to support contract negotiations.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Oversee, build and maintain actuarial models used for forecasting, negotiations, and tracking performance risks associated with value-based arrangements
  • Drive strategic insight into profitability by leading analysis and communication of key drivers, distinguishing impacts from business and regulatory changes versus revenue and medical trends
  • Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders
  • Serve as a key resource for risk-taking provider organizations and physician groups
  • Communicate results and provide recommendations to stakeholders on business performance and strategic actions
  • Contribute thought leadership, provide actuarial recommendations, and assist Finance leadership with Medicare Advantage, Commercial, and Medicaid risk contracting
  • Mentor, direct and review work of a team of 1-3 analysts

All while working in an environment that allows:
  • Effective project & time management; Flexibility in your work schedule
  • Participation in team problem solving; Contribution to team effectiveness
  • Inclusion into the UHG Actuarial Study Program, including company sponsored study hours and study materials

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Bachelor's degree in Actuarial Science, Mathematics, or related field
  • 2+ years of experience analyze and transforming large healthcare claims datasets
  • 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
  • 3+ years of experience in Medicare Advantage, bid/risk score development, value-based care (VBC) modeling, or government programs in general
  • Proficiency in Excel and SQL
  • Excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion

Preferred Qualifications:
  • ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation
  • Experienced in mentoring and/or leading junior analysts
  • Experienced presenting business insights and summaries to inform decisions to stakeholders
  • Demonstrated ability to be self-motivated, inquisitive, and quick to learn new business concepts, with a proactive approach to taking initiative

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $170,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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