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Senior Actuarial Director (Analytics)

Optum is part of UnitedHealth Group, 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Join our mission-driven organization, where your work matters and a diversity of ideas and backgrounds are welcomed. AbleTo is the leading provider of high quality, technology-enabled behavioral health care. We believe that everyone deserves access to high-quality care and offer a suite of technology-enabled services to empower people to lead better lives through better mental health.

A proprietary platform connects individuals with AbleTo highly trained licensed providers who deliver weekly sessions by phone or video supported by an integrated digital experience. Members also have access to mental health coaches, and digital support programs. Our outcomes-focused approach is proven to improve both behavioral and physical health and lower medical costs.

The Sr. Director of Value Analytics at AbleTo is responsible for crafting and telling AbleTo's value story to existing and potential clients. The Sr. Director works with our client account management teams to establish relationships with key client stakeholders and works with our internal data science and analytics team to conduct advanced analytics to determine the value AbleTo has created for its clients.

The Sr. Director should have significant healthcare data analytics experience and use that experience to help our team structure and execute data analytics studies to prove AbleTo's value story (including clinical outcomes analysis, medical cost reduction, and other value-based outcomes). Additionally, the Sr. Director should be able to successfully discuss and influence the studies our clients perform.

The Sr. Director will work with AbleTo's data science and analytics team to enhance AbleTo's methods for analyzing health care claims data and creating enrichment layers to include episode groupers, risk scoring models, and other tools. The Sr. Director should explore new aspects of value (or enhancements to our value story) by incorporating new data sources such as socio-economic and social determinants of health and consumer data which will generate insights into which members will benefit from AbleTo's program.

While the majority of the analytics work will be performed by the data science and analytics team, the Sr. Director should be comfortable assisting with performing analytical studies and be able to "speak to" the data and represent our analytical studies to our clients.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Technical Leadership
    • Bring healthcare analytics thought leadership to drive engagement and treatment outcomes in various populations such as commercially insured, Medicare Advantage, Medicaid, etc.
    • Serve as SME on analytic methods such as episode groupers, risk scoring models, relative resource values (RRVs), Risk Adjustment, propensity matching, etc.
    • As part of the SME role, be able to speak to the benefits and downsides of certain methodologies and represent AbleTo externally in its discussion with payer / provider analytic and actuarial teams.
    • Influence the data science and analytics team's approach to optimize use of medical claims and pharmacy data
    • Work with the data science and analytics team to leverage new tools and healthcare analytics to augment identification and stratification models
    • Collaborate with the data science and analytics team to identify and integrate other data sources to improve models
    • Proactively identify new ways to use data or ways to augment data to improve effectiveness and efficiency
    • Work with clinical and sales leaders to enhance outcomes reporting
  • Stakeholder Management
    • Prioritize and communicate Data Analytic projects based on Company objectives across multiple stakeholders
    • Collaborate cross-functionally with our Research team, Engagement team, Clinical team, Product teams to optimize our use of data and analytics to develop business insights
    • Work with internal customers to define business problems and proposes analytic research or solutions to solve or address those needs

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:
  • 8+ years of experience in healthcare analytics
  • 8+ years of innovative experience working with data and gleaning insights
  • Experience in advanced statistics, informatics, biostatistics, or actuarial science
  • Experience forming relationships with clients and working closely with Account Managers and Sales teams
  • Experience speaking the language of Actuarial teams in payor companies

Preferred Qualifications:

  • Experience with claims
  • Experience in Behavioral Health

California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only:

The salary range for California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $101,200 to $184,000 per year.

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.

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