Actuarial Manager

Actuarial Manager at Optum summary:

The Actuarial Manager at Optum leads actuarial efforts to develop and evaluate healthcare pricing, utilization, and cost studies, enabling value-based contracts and innovative risk arrangements. This role involves collaborating with clients, clinical teams, and analysts to interpret modeling results and guide strategic decisions while mentoring junior staff. The position requires strong actuarial expertise, data analysis skills, and experience in healthcare economics to improve health outcomes and advance health equity.

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.

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

Primary Responsibilities:

• Bring traditional actuarial skills to provider organizations as the health care market continues to evolve
• Assist in developing innovative strategies, value-based contracts, and innovative risk-based arrangements
• Develop, conduct, and evaluate studies on pricing, utilization, and health care costs for our broad range of provider clients
• Prepare, forecast, and analyze trends
• Interpret, compile, and disseminate results of modeling analyses with appropriate conclusions and recommendations to assist in client decision making and strategic direction
• Lead meetings across various clients, clinical staff, and actuarial teams to validate and develop modeling assumptions
• Potential areas of focus may include but are not limited to: Healthcare Economics, benchmarking analysis, value-based contract feasibility analysis, outcomes analysis, and population health analytics
• Develop professionally within an actuarial team, while collaborating with other clinicians, business analysts, and strategy consultants
• Mentor junior analysts and review client deliverables

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:

• On the Actuarial exam track, preferably with ASA or FSA credential
• 5+ years of actuarial experience in healthcare field
• 5+ years of experience acquiring, manipulating, and working with large heterogeneous datasets (claim and non-claim based) and using them to solve business problems
• 2+ years of experience collaborating with cross functional partners and presenting analytical findings to non-analytical audiences
• Experience with people management and/or project management
• Advanced proficiency in MS Excel
• Advanced proficiency using SQL and/or SAS
• Demonstrated intellectual curiosity and drive to serve clients

Preferred Qualifications:

• Experience in evaluation of care management program effectiveness
• Experience in performing regression analyses
• Experience in large file transfers and/or manipulations
• Experience working with limited datasets and assessing data quality
• Experience and/or exposure to predictive modeling, clustering, etc.

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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). 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.

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.

Keywords:

actuarial analysis, healthcare economics, value-based contracting, risk management, data analytics, predictive modeling, population health analytics, healthcare cost forecasting, SQL, SAS