Lead a team to build and maintain actuarial models for Medicare Advantage Commercial and Medicaid value-based contracts. Analyze large claims datasets recommend financial terms support contract negotiations drive predictive modeling initiatives and communicate insights to stakeholders while managing and developing actuarial staff.

Requisition Number: 2338088
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 a Director of Actuarial Services you will be empowered supported and encouraged to use your actuarial expertise as you build and maintain actuarial models to support risk management and financial analysis for our Value-Based Care (VBC) business. 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.
This position leads a growing actuarial team responsible for assessing and quantifying risk in risk - based contracts across the provider organization and for developing strategies and designing actuarial models to support contract negotiations.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. This position follows a hybrid schedule with four in-office days per week. Eden Prairie MN preferred.
Primary Responsibilities:

• Lead the development and oversight of actuarial models and forecasts to support value-based Medicare Advantage Commercial and Medicaid risk arrangements
• Develop and recommend actuarially sound financial terms to effectively manage risk in risk-based arrangements
• Analyze large complex financial claims utilization and cost data sets to assess performance risk and opportunities
• Translate complex analytical findings into clear actionable insights for operators provider partners finance leadership and senior executives
• Provide actuarial expertise and strategic recommendations to support contract negotiations performance tracking and risk management
• Drive strategic initiatives process improvements and innovation through predictive modeling and creative problem solving
• Partner cross-functionally to identify cost mitigation opportunities and support enterprise-wide initiatives
• Oversee day-to-day execution of actuarial and analytic work ensuring quality efficiency and alignment with business goals
• Communicate effectively with technical and non-technical audiences through presentations discussions and written materials
• Serve as a key resource for risk-taking provider organizations and physician groups
• Manage mentor and develop a team of managers and analysts including performance management talent development and succession planning

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:

• ASA (Associate of the Society of Actuaries)
• 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
• 3+ years of experience analyzing and manipulating large healthcare claim datasets
• 2+ years of experience managing actuarial analysts
• 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:

• FSA or progress toward FSA (Associate/Fellowship of the Society of Actuaries) designation
• 3+ years of experience with any of the following: Government Programs Medicare Advantage (MA) products Medicare bids and/or VBC modeling
• Experienced presenting business insights and summaries to inform decisions to stakeholders
• Proven ability to self-motivate quickly learn new business concepts and take initiatives

*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 $134600 to $230800 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.