Analyze Medicaid pricing files, claims experience, forecasts and trends to optimize revenue. Build actuarial models, perform pricing and competitive analyses, support product development, stakeholder communication, and automate processes.
Requisition Number: 2364978
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
This Senior Actuarial Analyst will be part of a team that oversees the Medicaid pricing process from beginning to end. Working cross-functionally with health plan market leadership, forecasting, medical economics, accounting, and many other teams across the organization as well as with external partners to ensure appropriate funding for our Community and State business. This role will be tasked with analyzing state rate files and information, trends, claims experience, and eligibility to identify and advocate for appropriate reimbursement for covering our members, utilizing a data-driven analytical approach. This role will require a technical approach to support pricing initiatives.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Preferred Qualifications:
*All Telecommuters 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 $72,800 - $130,000 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.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
This Senior Actuarial Analyst will be part of a team that oversees the Medicaid pricing process from beginning to end. Working cross-functionally with health plan market leadership, forecasting, medical economics, accounting, and many other teams across the organization as well as with external partners to ensure appropriate funding for our Community and State business. This role will be tasked with analyzing state rate files and information, trends, claims experience, and eligibility to identify and advocate for appropriate reimbursement for covering our members, utilizing a data-driven analytical approach. This role will require a technical approach to support pricing initiatives.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Evaluate and analyze Medicaid pricing files and processes for our Medicaid markets to optimize revenue within Community & State
- Perform studies on pricing, utilization, and health care costs
- Perform analytics to identify opportunities for revenue adjustments, including program changes, trends, and administrative costs
- Support the execution of complex data programs to perform mathematical analyses and actuarial modeling
- Analyze forecasts and trends and translate complex data in ways that can be understood by a variety of audiences
- Perform competitive analysis and determine the impact on premiums and various product proposals
- Support the development and implementation of new products
- Support new and existing business, which may require working directly with state actuaries as well as other MCO and industry actuarial teams
- Identify opportunities for process improvements and support implementing those process improvements
- Update automated processes for the team
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 or equivalent years of experience in an actuarial or analytic role
- 2+ years of experience working in a corporate environment including experience collecting, analyzing and summarizing qualitative/quantitative data
- Must be on the Actuarial exam track, having passed 2 or more Actuarial exams
- Advanced or higher level of proficiency with Excel
Preferred Qualifications:
- Basic or higher level of proficiency with SAS, SQL and/or Snowflake
- Proven excellent verbal and written communication skills
- Proven analytical and critical thinking skills
*All Telecommuters 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 $72,800 - $130,000 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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