Remote Director, Actuarial Services – Medicare AI Analytics

UnitedHealth Group; United States; Remote; USD 135,000 - 231,000; Full time

Job summary

UnitedHealth Group is seeking a Director of Actuarial Services to lead the Medicare ACO actuarial function within OptumHealth. This role oversees forecasting, underwriting, and risk assessments to support contract negotiations and financial performance.

You will mentor a growing team, develop actuarial models, and provide strategic recommendations to senior leaders while advancing health outcomes and cost efficiency across the payer-provider landscape.

Qualifications

• ASA designation or progression toward ASA.
• 7+ years actuarial experience in healthcare analytics and modeling.
• Experience with Traditional Medicare value-based arrangements or Medicare Advantage.
• 2+ years of managing actuarial analysts.
• Strong problem-solving and communication abilities.
• Proficiency in Excel and SQL.

Responsibilities

• Actuarial lead for Medicare ACO programs and cross-functional discussions.
• Develop and oversee actuarial models and forecasts for Medicare value-based arrangements.
• Define actuarially sound financial terms to manage risk in contracts.
• Translate analytics into actionable insights for operators and executives.
• Provide strategic recommendations for program selections and negotiations.
• Drive AI, predictive modeling and process improvements.

Skills

ASA designation

7+ years actuarial experience

Medicare value-based experience

People management

Communication skills

Critical thinking

Tools

Excel

SQL

Job description

UnitedHealth Group is seeking a Director of Actuarial Services to lead the Medicare ACO actuarial function within OptumHealth. This role oversees forecasting, underwriting, and risk assessments to support contract negotiations and financial performance.

You will mentor a growing team, develop actuarial models, and provide strategic recommendations to senior leaders while advancing health outcomes and cost efficiency across the payer-provider landscape.