Remote Senior Actuarial Analyst — Medicaid Pricing

UnitedHealthcare; Minnetonka (MN); Hybrid; USD 73,000 - 130,000; Full time

Job summary

UnitedHealthcare is seeking a Senior Actuarial Analyst to lead Medicaid pricing initiatives and support cross-functional teams across markets, forecasting, and accounting. You will analyze rate files, trends, and eligibility to advocate for appropriate reimbursement while using a data-driven approach to support pricing initiatives.

The role offers remote work across the U.S. with an office expectation in the Minneapolis area, and requires collaboration with state actuaries and health plan

Qualifications

• Bachelor's Degree or equivalent years of experience in an actuarial or analytic role.
• Must be on the Actuarial exam track, having passed 2 or more Actuarial exams.
• 2+ years of experience in a corporate environment including experience collecting, analyzing and summarizing qualitative/quantitative data.
• Advanced or higher level of proficiency with Excel.

Responsibilities

• Evaluate and analyze Medicaid pricing files and processes for our Medicaid markets to optimize revenue within Community & State.
• Perform studies on pricing, utilization, and health care costs.
• Perform analytics to identify opportunities for revenue adjustments, including program changes, trends, and administrative costs.
• Support the execution of complex data programs to perform mathematical analyses and actuarial modeling.
• Analyze forecasts and trends and translate complex data in ways that can be understood by a variety of audiences.
• Perform competitive analysis and determine the impact on premiums and various product proposals.
• Support the development and implementation of new products.
• Support new and existing business, which may require working directly with state actuaries as well as other MCO and industry actuarial teams.
• Identify opportunities for process improvements and support implementing those process improvements.
• Update automated processes for the team.

Skills

Excel

Analytical thinking

Communication

Education

Bachelor's Degree or equivalent years of experience in an actuarial or analytic role

Actuarial exam track with 2+ passes

Tools

SAS

SQL

Snowflake

Job description

UnitedHealthcare is seeking a Senior Actuarial Analyst to lead Medicaid pricing initiatives and support cross-functional teams across markets, forecasting, and accounting. You will analyze rate files, trends, and eligibility to advocate for appropriate reimbursement while using a data-driven approach to support pricing initiatives.

The role offers remote work across the U.S. with an office expectation in the Minneapolis area, and requires collaboration with state actuaries and health plan