Closer to capital/risk strategy than pricing partnership—the work concerns provider risk and Value-Based Care decisions rather than traditional insurance pricing.
Director-level Health actuarial role on OptumHealth’s National Actuarial and Healthcare Economics team, supporting Medicare ACO and Value-Based Care programs. You’ll build and oversee models, analyze claims and revenue data, advise provider organizations, and lead a small analyst team. The role is remote within the U.S., although Eden Prairie-area hires must work in the office at least four days per week.
Requirements
Strongly preferred
Bachelor's degree in Actuarial Science, Mathematics, or related field
5+ years of actuarial experience with healthcare analytics and modeling
3+ years of experience analyzing large healthcare claim datasets
Proficiency in Excel and SQL
Proven problem-solving, communication, and critical thinking skills
ASA, FSA, or progress toward ASA/FSA designation
Experience with Government Programs, Medicare Advantage, CMS ACO/Alternative Payment Models, or VBC modeling
Experience presenting business insights to inform stakeholder decisions
Ability to self-motivate, learn new business concepts, and take initiative
Skills & Domain
ToolsExcel
DomainHealthcare analytics and modelingLarge healthcare claims dataset analysisMedicare ACO/Alternative Payment ModelsValue-Based Care (VBC) modelingGovernment Programs experience