Minnetonka MN

New York NY

Remote

Associate

Qualified

Senior Actuary

Life

Health

Reserving

Reporting

Data

Risk

Systems

Python

Modelling

Pricing

Excel

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.As an Associate Director at UnitedHealth Group, you can lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives. You will evaluate the pricing of new, innovative products and programs and deliver your insights to leadership across both actuarial and non-actuarial functions. It's an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy.You'll enjoy the flexibility to work remotely from anywhere within the U.S. (Minnetonka, MN preferred) as you take on some tough challenges.Primary Responsibilities:<ul><li>Analyze and interpret quantitative data to deliver pricing guidance on commercial group premium rate development. Examples include: Tiered benefit modeling, non-standard benefit coverage pricing, manual rate factor development, etc.</li><li>Provide expertise to support pricing and guidance to traditional or nontraditional product designs and/or pilot programs.</li><li>Shape, construct and communicate high quality and effective solutions to business partners that meet external/internal customer expectations and regulatory obligations.</li><li>Educate and instruct actuarial pricing and other business partners.</li><li>Collaborate and communicate insight, feedback, guidance, solutions, or issues with business impact.</li><li>Produce and review reports and/or interpret information across states and departments as required.</li><li>Develop proficiencies with data systems, data processes, and data technology to support business needs.</li></ul>You'll be part of an intensely driven and focused team whose mission is to engineer, empower, and educate on actuarial health care solutions to make health care affordable. You'll be a trusted subject matter expert who's called on to incorporate traditional actuarial expertise into novel, cutting edge actuarial solutions. This is an opportunity to craft and execute strategic initiatives at one of the largest organizations in the world.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 or equivalent work experience.</li><li>4+ years actuarial and/or modeling experience.</li><li>Proficient in SAS (Statistical Analysis System), SQL (Structured Query Language), R and/or Python.</li></ul>Preferred Qualifications:<ul><li>ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation.</li><li>Experience working in health care industry.</li><li>Experience with commercial group or individual actuarial pricing.</li></ul>The salary range for this role is $106,800 to $194,200 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).Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected.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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.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.

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.As a Director Actuarial Services within UHC M&R, you will lead actuarial efforts in owning the development of key inputs supporting the Medicare Advantage bid process. You will effectively perform data analysis, excel modeling and actuarial analytics while developing new processes and strengthening existing processes.You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization.Primary Responsibilities:<ul><li>Leader on team preparing and certifying Medicare Advantage bid filings for UHC</li><li>Owns end-to-end process in making key decisions on projects and directing junior staff</li><li>Assist in leading and managing team of actuaries and actuarial students of varying levels</li><li>Understand MA bid pricing and certify bids of various product types</li><li>Identify inefficiencies in processes or models and proactively take steps to implement changes</li><li>Develop trusted and effective relationships with leaders in other areas of the company that we support</li><li>Effectively define and manage deadlines for projects that help meet overall team goals</li><li>Present findings in clear, compelling manner to senior leadership to provide information needed for optimal decision-making</li><li>Take the lead on answering audit questions with CMS and consulting actuaries around assumptions for bid submissions</li><li>Understand underlying financials and general ledger and impact on MLR and Part C Reporting requirements</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>Credentialed actuary (FSA or ASA)</li><li>10+ years of health care actuarial industry experience</li><li>Medicare Advantage pricing experience</li><li>Proven ability to create applicable data models and aggregate, review and analyze applicable data for various projects</li><li>Proven excellent communication skills: experience clearly articulating technical concepts to non-technical audiences and the ability to understand perspectives of multiple constituents</li><li>Demonstrated ability to identify, evaluate and recommend appropriate strategies</li></ul>Preferred Qualifications:<ul><li>Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language)</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.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.

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization.Primary Responsibilities:<ul><li>Prepare Medicare Advantage bids submitted to CMS annually</li><li>Conduct data analysis and prepare reports for Medicare Advantage submissions</li><li>Understand and interpret the key drivers of health care trends; projecting expected revenue and cost</li><li>Develop pricing methodologies and assumptions</li><li>Conduct and evaluate studies on pricing, utilization and health care costs</li><li>Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions</li><li>Perform quantitative analysis of actuarial, financial, utilization and costs data</li><li>Analyze forecasts and trends to help leaders make decisions</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>ASA Credential or greater</li><li>5+ years of Actuarial experience</li><li>Experience with Medicare Advantage</li><li>Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations)</li></ul>Preferred Qualifications:<ul><li>Experience working in the finance-related field of the health care industry</li><li>Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language)</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 deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.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.At Optum, the actuarial consulting leader in health care innovation, your performance, your ideas and your innovative thinking will help us improve the lives of millions. As the Senior Director of Actuarial Consulting, you will manage project teams in the delivery of consulting services involving complex mathematical analyses and actuarial modeling. The role requires an ability to communicate effectively well with all levels of healthcare organization technical and non-technical staff, and an ability to develop solid client relationships through credible industry knowledge. You'll provide actuarial direction and strategy that strikes a balance between growth and profitability goals. Join us.Primary Responsibilities:<ul><li>Manage a multidisciplinary team to implement innovative solutions to support commercial payers with actuarial and analytic needs</li><li>Serve in an advisory role to internal and external clients on healthcare management, growth & strategy, market competitiveness and/or analytics</li><li>Perform in a lead role to clients in day-to-day delivery of large-scale projects / products, which are defined as high cost, high complexity and / or high risk</li><li>Lead business development process for new clients and/or new solutions into existing clients</li><li>Develop proposals and statements of work for client engagements. Lead the RFI, RFP and sales process</li><li>Create a team-oriented work climate that enables professional development, encourages creative solutions and strategies, and drives best-in-class professional standards</li><li>Provide coaching and mentoring to junior consultants and analysts with the goal of developing and retaining talent within the organization</li><li>Actively participate in contributing thought leadership for Optum to the market, including assistance in building consulting marketing and sales collateral</li><li>Identify and develop consulting offerings, products and services solutions that align with key market needs and or client initiatives</li></ul>Required Qualifications:<ul><li>13+ years of experience in Healthcare industry serving in the capacity of an actuary</li><li>5+ years of Project leadership/management experience</li><li>5+ years of experience managing and providing work direction to a team</li><li>5+ years with payer, provider, consumer and/or pharmacy data assets</li><li>Some knowledge of SAS or SQL</li><li>Fellow or Associate of the Society of Actuaries designation</li><li>Proficiency with Excel and PowerPoint</li><li>Proven problem-solving skills (identification of issue, causes, solution, implementation plan)</li><li>Proven excellent communication, both verbal and written, including presenting technical concepts to a non-technical audience</li></ul>Preferred Qualifications:<ul><li>Experience in using various Optum proprietary and public data sources</li><li>Experience in business development for consulting/advisory services</li><li>Entrepreneurial spirit</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, Washington or Washington, D.C. Residents Only:The salary range for this role is $147,300 to $282,800 annually. 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). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.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.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.

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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The Associate Director of Actuarial Services within UHC Medicare &amp; Retirement will perform critical research and investigation of key business problems through quantitative analysis of Medicare Advantage data. The Associate Director will proactively identify, communicate, and lead organizational dialogue on opportunities and risks throughout the organization, primarily on topics such as national medical costs, national medical trends, and Utilization Management (UM) affordability programs.As a subject matter expert, the Associate Director will interpret and analyze data from various sources (e.g. claims, authorizations, member data) and recommend best approaches to transform the healthcare industry. The successful candidate will be a key player in setting business strategy using data and analytics to improve member outcomes while delivering savings to the healthcare system. The environment is challenging and fast-paced, requiring flexibility and curiosity. Team members are expected to have a high level of energy, a passion for driving demonstrable value at speed, and making a positive impact both within and beyond United Healthcare.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. The preferred location for this position is the Minnetonka, MN office.Primary Responsibilities:<ul><li>Work closely with Finance, Actuarial, and Affordability partners to develop financial projections and forecasts of expected savings from key affordability programs. Also, build comparisons of actual to expected results and develop explanations of variances</li><li>Provide management with unbiased advice regarding medical cost strategy, including review of affordability programs strategy, operational outcomes, and financial metrics</li><li>Build solid relationships within the organization including finance, network, product, actuarial, clinical, and operations</li><li>Work with other healthcare economics teams across the enterprise to continually improve and refine processes and approaches</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>ASA or FSA designation</li><li>5+ years of experience in data analytics, specifically interpreting and communicating the results to a broad range of customers and business leaders</li><li>3+ years of experience in financial modeling; for example reserving, pricing, forecasting, etc.</li><li>Extensive and expert knowledge of concepts and methodologies in health care environment</li><li>Advanced or higher proficiency with MS Excel formulas, calculations, charts, graphs</li><li>Advanced or higher proficiency with query writing in SAS and/or SQL</li><li>Proven excellent interpersonal skills and ability to collaborate with internal customers across multiple departments</li><li>Proven ability to approach issues from broad strategic perspective while also focusing on the details</li><li>Proven excellent written and verbal communication skills</li></ul>Preferred Qualifications:<ul><li>Medicare experience</li><li>Experience with Utilization Management (UM) affordability programs</li><li>Leadership experience with demonstrated prudent decision-making skills and notable initiative and resourcefulness</li><li>Experience in a management role with demonstrated success in maximizing value from analytical staff</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.

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