UnitedHealth Group logo

UnitedHealth Group

Share this job:

View all jobs at UnitedHealth Group

UnitedHealth Group is hiring a

Senior Vice President/Health Actuary (Healthcare Economics)

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 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.

The Senior Vice President of Optum Health Healthcare Economics and Actuarial leads a national team of actuaries, healthcare economics analysts, risk management, data management, and financial analysis experts to support the Optum Health businesses. The contributions of this role are crucial for Optum Health to achieve its growth and profit objectives through consistent and accurate reserving, trend forecasting, identification of medical expense management opportunities, and evaluation and measurement of medical expense management programs and initiatives.

This leader will be forward-thinking and push our analytics to new levels of insight around our health care cost trends and data. For example, this leader will find ways for his/her team to leverage real-time clinical and other data in addition to traditional claims data to enable us to better understand medical trends. The leader needs to have the ability to then lead their team to put the "story" together and have the executive presence to explain the analysis to Optum Health and UHG senior leaders.

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

Primary Responsibilities:

  • Provide strategic guidance and insight that allows the team to enable the enterprise to make informed decisions through quality analytics by providing clinical, network, and financial analysis, consulting, and reporting to a broad range of business functions across Optum Health
  • Lead a large, complex organization comprised of actuaries, healthcare economics, risk & quality, data management, network strategy, and product analytic teammates (team size ~450)
  • Partner closely with the leadership teams of the Optum Health businesses to gain business insights and ensure collaboration of teams to maximize analytic capabilities, tools, and resources to meet business objectives
  • Responsible for monthly medical expense forecasts, reserving, pricing trends, explanation of medical cost results and variances, evaluation of emerging medical cost issues, and development and evaluation of health care affordability initiatives
  • Maintain strong relationships with business CEOs, CFOs, finance, clinical, network, affordability, and product teams

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
  • 15+ years of Actuarial and/or Healthcare Economics experience
  • 10+ years of management experience including management of senior staff
  • Solid executive presence and ability to communicate clearly and with influence to senior executives.
  • Proven ability to perform and manage complex actuarial tasks that have a large financial and/or risk impact
  • Significant background in medical cost reserving, trend analysis, and financial forecasting
  • Significant experience working with non-actuarial staff including underwriting, clinical, finance, network, and product teams
  • Demonstrated knowledge of the health care industry within a complex, matrixed organization
  • Excellent communication skills and the ability to summarize and present results to senior management
  • Ability to explain and resolve highly complex business problems
  • ASA or FSA designation

Preferred Qualifications:

  • Advanced degree and FSA designation preferred

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

View all jobs at UnitedHealth Group