Build and maintain actuarial models to forecast and track value-based care performance. Extract and analyze claims/revenue data identify profitability drivers perform peer review and data mining prepare revenue/claim forecasts and communicate findings to internal stakeholders to support underwriting and negotiation.

Requisition Number: 2338084
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.
Is it time to raise your game? Are you ready to take on a more advanced role in tracking and effectively managing risk? As a member of our high-performance actuarial team you'll help support UnitedHealth Group's growth and financial goals and while you help shape our future.
As an Actuarial Consultant you will be empowered supported and encouraged to use your actuarial expertise as you build and maintain actuarial models to support financial analysis for our Value-Based Care (VBC) business. You'll find an accelerated actuarial development path to support you in your continuing post-graduate education and certification. The successful candidate will have a strong background in actuarial science a technical skillset to take on complex VBC modeling and the curiosity and desire to become a thought leader in their areas.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:

• Build and maintain actuarial models used for forecasting and tracking performance risks associated with value-based arrangements.
• Extract analyze and aggregate revenue/claim data from multiple sources and interpret quantitative data to review and guide the strategy of value-based arrangements
• Evaluate and identify profitability drivers to determine whether performance is driven by business or regulatory changes and/or revenue and medical trends.
• Peer review and perform data mining and analysis that impacts foundational pricing and risk assumptions
• Explain and extract payer specific utilization data to support value-based care negotiations
• Design and prepare annual revenue and claim forecasts and summary exhibits to determine value of the contracts
• Provides explanations and interpretations of underwriting analysis to analysts managers and directors within and sometimes outside department within area of expertise
• Communicate the results of your work in a meaningful way to internal stakeholders.

All while working in an environment that allows:

• Effective project & time management; Flexibility in your work schedule
• Participation in team problem solving; Contribution to team effectiveness
• Inclusion into the UHG Actuarial Study Program including company sponsored study hours and study materials

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 in Actuarial Science Mathematics Finance or related field
• Must be on the Actuarial exam track having passed 3 or more Actuarial exams
• 4+ years of experience working in a corporate environment including experience collecting analyzing and summarizing qualitative/quantitative data
• Expertise working with formulas calculations charts graphs in MS Excel

Preferred Qualifications:

• Associate of the Society of Actuaries designation
• 2+ years of experience building Actuarial models in SQL (Structured Query Language) SAS (Statistical Analysis System) and/or VBA (Visual Basic for Applications)
• Experience working in finance or the health care industry
• Experienced with any of the following: Underwriting Financial Reporting Government Programs Medicare Advantage (MA) products Medicare Bids and/or VBC modeling
• Demonstrated ability to be self-motivated inquisitive and quick to learn new business concepts with a proactive approach to taking initiative

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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 $91700 to $163700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.