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Senior Actuarial Director - Medicare

Senior Actuarial Director - Medicare

OptumEden Prairie, MN, United States
2 days ago
Job type
  • Full-time
Job description

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

In joining the Optum Advisory Trend Analytics Consulting team : you'll be part of a team that is a leader in health care cost analytics, with a proven track record of supporting health plans across the country though a diverse staff of Actuaries, Data / Research Analysts, and Business / Technology Consultants. Our consulting team has continued to expand capabilities and our consulting presence by identifying, developing, and executing on new and exciting business opportunities.

As a member of our high-performing team, you'll help support Optum's growth and financial goals while you help shape our future. As an Senior Actuarial Director, you will be empowered, supported, and encouraged to use your actuarial expertise as you perform financial analysis and build models that improve health plan competitiveness.

The Senior Actuarial Director in this role will work with detailed health care Medicare claims data to build and maintain actuarial models to support financial analysis and forecasting. A successful candidate in this role will be able to apply technical skills to complex analyses to draw key insights that reflect an understanding of the overall consulting engagement; effectively create visually appealing, client-ready, and insightful deliverables; diagnose the root causes of modeling shortcomings and propose solutions on how to address and improve models; successfully construct and communicate logical storylines and manage client questions in areas of content knowledge.

Primary Responsibilities

  • Act as client lead on a day-to-day basis for delivery of large-scale and complex projects
  • Lead recurring meetings across finance, pharmacy, clinical, and actuarial client teams
  • Collaborate with key stakeholders to identify and develop business questions for analytic investigation (e.g., utilization analysis)
  • Develop and design complex data programs and forecast models, by utilizing applicable data / analytical tools to extract and analyze data (e.g., SAS, SQL, R, Python, Excel, Tableau, PowerBI)
  • Interpret, compile, and disseminate results of modeling analyses with appropriate conclusions and recommendations
  • Serve in an advisory role to clients on business strategy, operational effectiveness, and healthcare best practices
  • Provide strategic input to the development of the project roadmap and timelines
  • Create a team-oriented work climate that enables professional development and encourages creative solutions and strategies

Business Development / Leadership

  • Manage a team of Actuarial Consultants
  • Provide coaching and mentoring to junior consultants and analysts with the goal of developing and retaining talent within the organization
  • Support cross business collaboration with Optum actuarial and other consultants in the pursuit of new development opportunities
  • Complete financial analysis and develop client business case for proposed solutions
  • Support and actively participate in thought leadership for innovative solutions and expanding consulting engagements
  • 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
  • Actuarial Credential (ASA or FSA)
  • 10+ years of healthcare actuarial experience
  • 5+ years of experience presenting analytical findings
  • 5+ years of experience working with Medicare claims data
  • 5+ years of experience as a people and project manager
  • Preferred Qualifications

  • 5+ years of experience working for a healthcare consulting practice
  • 3+ years of experience forecasting Medicare drug costs
  • Advanced proficiency in Excel, SAS, PowerBI, and experience designing and running complex Actuarial analytics
  • Local to Eden Prairie, MN
  • 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 $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    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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    Director Actuarial • Eden Prairie, MN, United States

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