Eden Prairie MN

Minnetonka MN

Remote

Part Qualified

Associate

Qualified

Senior Actuary

Life

Health

Reserving

Reporting

Risk

Python

Modelling

Coding

Pricing

Excel

Power BI

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. Join us to start Caring. Connecting. Growing together.This job role is in the Optum Advisory and Implementations business unit under the Government Programs Actuarial (GPA) practice. The GPA practice focuses on providing actuarial consulting services to Medicare and Medicaid payers. This actuarial consulting practice competes with other traditional actuarial consulting organizations in the industry.The GPA practice primarily works with non-United Health Group payer entities and focuses on creating top tier actuarial solutions for its customers. Since this job is a consultative role, work responsibilities will vary based on customer needs. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:<ul><li>Create actuarial reports and analytics to support Part C and Part D bid development</li><li>Process and summarize CMS data files to be used for studies on revenue, risk adjustment, utilization, and health care costs</li><li>Perform mathematical analyses and actuarial modeling to provide project managers with statistical findings and conclusions</li><li>Run complex data programs to analyze medical and pharmacy claims data</li><li>Contribute on multiple work streams and project teams effectively</li></ul>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:<ul><li>Bachelor's degree</li><li>Working toward ASA or FSA designation with 1 actuarial exam passed</li><li>Expertise in Excel and Microsoft Office suite</li></ul>Preferred Qualifications:<ul><li>2+ actuarial exams passed</li><li>Actuarial or consulting experience</li><li>Working experience with large claims datasets</li><li>Demonstrated well developed oral and written communication skills</li><li>Proven technical skills including Power BI, SQL, and SAS programming</li></ul>*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable.In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).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.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.

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. Join us to start Caring. Connecting. Growing together.This job role is in the Optum Advisory and Implementations business unit under the Government Programs Actuarial (GPA) practice. The GPA practice focuses on providing actuarial consulting services to Medicare and Medicaid payers. This actuarial consulting practice competes with other traditional actuarial consulting organizations in the industry. The GPA practice primarily works with non-United Health Group payer entities and focuses on creating top tier actuarial solutions for its customers. Since this job is a consultative role, work responsibilities will vary based on customer needs.Traditionally, this role focuses on client facing projects and internal training needs for our analyst staff. The role will be supported by other actuarial analysts and consultants in the GPA practice and will include leadership of teams of analysts. While Medicaid expertise is requested, the job role will ultimately include opportunities to work on projects beyond Medicaid including Medicare Advantage pricing, financial forecasting, product design strategy, Part D modeling, ACA pricing and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:<ul><li>Mentor and develop an elite team of consulting Actuaries</li><li>Lead and participate in client relationships and oversee client assignments</li><li>Perform rate development and financial analytic actuarial activities related to Medicaid and Medicare programs. This includes strategic consulting related to Medicaid and DSNP market entry, initial product proforma development, providing Medicaid payers with analysis and opinion papers to influence rate negotiations</li><li>Leading, educating, and mentoring the actuarial analyst teams throughout the year to encourage ongoing technical skill development and industry awareness for the actuarial profession</li><li>Design and run complex data programs to create mathematical analyses and actuarial models</li></ul>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:<ul><li>5+ years of healthcare actuarial experience</li><li>2+ years of Medicaid pricing or Medicaid healthcare economics experience</li></ul>Preferred Qualifications:<ul><li>On the actuarial exam track, having passed a minimum of 4+ actuarial exams</li><li>3+ years of experience managing and providing work direction to a team</li><li>Experience with Medicaid rate negotiations or rate setting for state agencies</li><li>Consulting experience</li><li>ASA or FSA designation</li><li>Any technical skills with: Power BI, SQL, SAS, Python, data visualization, and data model design experience</li></ul>*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyCalifornia, Colorado, Connecticut, Hawaii, 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 $104,700 to $190,400 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.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 employers 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

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:<ul><li>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</li><li>Lead a large, complex organization comprised of actuaries, healthcare economics, risk & quality, data management, network strategy, and product analytic teammates (team size ~450)</li><li>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</li><li>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</li><li>Maintain strong relationships with business CEOs, CFOs, finance, clinical, network, affordability, and product teams</li></ul>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:<ul><li>Bachelor's degree</li><li>15+ years of Actuarial and/or Healthcare Economics experience</li><li>10+ years of management experience including management of senior staff</li><li>Solid executive presence and ability to communicate clearly and with influence to senior executives.</li><li>Proven ability to perform and manage complex actuarial tasks that have a large financial and/or risk impact</li><li>Significant background in medical cost reserving, trend analysis, and financial forecasting</li><li>Significant experience working with non-actuarial staff including underwriting, clinical, finance, network, and product teams</li><li>Demonstrated knowledge of the health care industry within a complex, matrixed organization</li><li>Excellent communication skills and the ability to summarize and present results to senior management</li><li>Ability to explain and resolve highly complex business problems</li><li>ASA or FSA designation</li></ul>Preferred Qualifications:<ul><li>Advanced degree and FSA designation preferred</li></ul>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.

Country

Sector

Hide closed jobs

Fully Qualified Actuarial Job Vacancies and Opportunities