Associate Director, Actuarial - Remote

UnitedHealth Group; Eden Prairie (MN); Remote; USD 113,000 - 193,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Incentive and recognition programs

Job summary

UnitedHealth Group is seeking an Associate Director, Actuarial to lead actuarial modeling and analyses for Medicare ACO programs. You will oversee models, translate results for executives, and provide strategic recommendations to risk-taking healthcare providers.

The role emphasizes VBC program evolution, collaboration with stakeholders, and development of a high-performing analytics team. Remote work is available nationwide with office presence in select markets as needed.

Qualifications

• Bachelor's degree in Actuarial Science, Mathematics, or related field.
• 5+ years of actuarial experience with healthcare analytics and modeling.
• 3+ years analyzing and manipulating large healthcare claim datasets.
• Proficiency in Excel and SQL; strong communication and problem-solving skills.

Responsibilities

• Oversee, build and maintain actuarial models for forecasting and performance risks in Medicare ACO lines.
• Analyze revenue and claim data; translate complex concepts for senior leaders.
• Serve as resource for risk-taking provider organizations and physician groups.
• Communicate results and provide recommendations to stakeholders on performance and strategy.
• Contribute thought leadership and assist customers with VBC programs.
• Mentor and supervise a team of 1–2 analysts.

Skills

Actuarial Experience

Data Analysis

Communication

Problem Solving

Education

Bachelor's degree in Actuarial Science or Mathematics

Tools

Excel

SQL

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.

The Associate Director, Actuarial is a key role within our OptumHealth National Actuarial and Healthcare Economics (HCE) team, responsible for overseeing, executing and communicating key actuarial functions for our Medicare Accountable Care Organizations (ACO) lines of business. This role involves managing resources and deliverables while providing customers in a risk-taking provider organization with business recommendations and contributing to the company's financial success. The successful candidate will have a solid background in actuarial science, a technical skillset to take on complex Value-Based Care (VBC) modeling and the curiosity and desire to become a thought leader in their areas.

You will enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Oversee, build and maintain actuarial models used for forecasting and tracking performance risks associated with Medicare ACO lines of business (ACO REACH, LEAD, MSSP/Medicare Shared Saving Programs)
• Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders
• Serve as a key resource for risk-taking provider organizations and physician groups
• Communicate results and provide recommendations to stakeholders on business performance and strategic actions
• Contribute thought leadership and assist customers with evaluating and implementing new and existing Value-Based Care (VBC) programs
• Mentor, direct and review work of a team of 1-2 analysts

You will 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 in Actuarial Science, Mathematics, or related field
• 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
• 3+ years of experience analyzing and manipulating large healthcare claim datasets
• Proficiency in Excel and SQL
• Proven excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion

Preferred Qualifications:

• ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation
• Experienced with any of the following: Government Programs, Medicare Advantage (MA) products, CMS ACO/Alternative Payment Models, and/or VBC modeling
• Experience presenting business insights and summaries to inform decisions to stakeholders
• Proven ability to self-motivate, quickly learn new business concepts and take initiatives

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 $112,700 - $193,200 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.