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UnitedHealth Group

UnitedHealth Group

Actuarial Manager

Actuarial Manager

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Job Details
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Uploaded On
June 29, 2023
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Location
Eden Prairie, United States
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Remote?
No
Salary
$
k-$
k
Glassdoor Ratings
""
Recommend to a Friend
70%
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Overall Score
3.7 / 5
[ 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

In joining the Optum Advisory Services Trend Analytics Consulting team: you'll be part of a team that is leader in health care cost analytics, with a proven track record of supporting health plans across the country though a diverse staff of Actuaries, Data/Research Analysts, and Business/Technology Consultants. Our consulting team has continued to expand capabilities and consulting presence by identifying, developing, and executing on new and exciting business opportunities.

As a member of our high-performing team, you'll help support Optum's growth and financial goals while you help shape our future. As an Actuarial Manager, you will be empowered, supported, and encouraged to use your actuarial expertise as you perform financial analysis and build models that improve health plan competitiveness.

On our team you'll have the opportunity to:

  • Identify, research, and tackle challenging healthcare cost questions by using detailed and insightful analysis. Your insightful analyses will lead to relevant, action-oriented recommendations
  • Hone your skills in crafting written communications and engaging presentations, culminating in compelling deliverables that resonate with our clients and stakeholders
  • Forge and cultivate relationships with both team members and clients, enhancing collaboration and shared success

All while working in a supportive environment that features:

  • Efficient project and time management, alongside the flexibility to adapt your work schedule according to your needs
  • Collaborative team problem-solving opportunities, allowing you to contribute to and enhance our team's effectiveness
  • The flexibility to work remotely from any location within the U.S., ensuring that you have the work-life balance you need to excel in your role

As the Actuarial Manager your focus will be on claims reporting, analysis, and forecasting.

Primary Responsibilities:

  • Work with comprehensive healthcare claims data to design, build, and maintain actuarial models, assisting in financial analysis pertinent to the pharmacy sector
  • Diagnose issues and root causes, providing strategic solutions tailored to pharmacy-related challenges
  • Apply your technical acumen to complex pharmacy-centric analyses, gleaning insights that enhance the consulting engagement
  • Deliver visually compelling, accurate, and client-ready deliverables focusing on pharmacy data and forecasts
  • Develop logical narratives in response to client questions, demonstrating your content knowledge in pharmacy analytics
  • Communicate and manage cross functional relationships with pharmacists, clinicians, actuaries, underwriters, and finance teams through actuarial support for both full-risk managed care programs and self-funded programs
  • Your cross-team collaboration responsibilities will include:
    • Partnering with the Commercial, Medicare, and Medicaid teams to ensure consistent and relevant pharmacy modeling
    • Leading meetings with various clients, clinical staff, and actuarial teams to validate and develop modeling assumptions pertinent to pharmacy analytics
    • Collaborating with key stakeholders to identify and develop pharmacy-related business questions for analytic investigation (e.g., pharmacy utilization analysis)
  • Your research and analysis responsibilities will be to:
    • Designing, executing, and assessing studies on pharmacy pricing, utilization, and healthcare costs for our diverse client base
    • Running complex data programs using relevant data/analytical tools (e.g., SAS, SQL, Excel, Tableau) to extract and analyze pharmacy-related data
    • Interpreting, compiling, and sharing results of pharmacy modeling analyses, offering coherent conclusions and recommendations
    • Effectively managing multiple tasks independently while working with team of individuals to creatively solution in a fast-paced environment

Joining our team, you'll become part of a driven, focused group that prides itself on continuously improving business results. As a trusted subject matter expert tasked with incorporating traditional expertise into innovative, cutting-edge pharmacy actuarial/analytic solutions, you'll find your performance recognized and rewarded in an environment that provides clear direction for success.

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 obtained from an accredited university
  • An actuarial credential (ASA or FSA)
  • 6+ years of professional experience in the actuarial healthcare field
  • 4+ years of experience working with health care claims data
  • 2+ years of experience in people or project management
  • 2+ years of experience presenting analytical findings to senior-level clients

Preferred Qualifications:

  • Hands-on experience in architecting and executing complex data programs, utilizing tools such as R, SAS, SQL, Tableau, PowerBI, VBA, and predictive modeling
  • Experience developing and presenting complex analyses to cross-functional teams
  • In-depth knowledge and experience with pharmacy claims, including a comprehensive understanding of drug costs, utilization, diagnosis codes, procedure codes, and pharmacy terminology
  • Proficiency in forecasting medical or pharmacy claims, including the ability to understand and interpret complex factors such as drug costs and utilization
  • Preferred location in Minnesota or Willing to relocate to Minnesota

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. ]
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Working at 

UnitedHealth Group

UnitedHealth Group is a leading healthcare company that is dedicated to improving the health and well-being of people around the world. With a vast network of businesses, UnitedHealth Group offers a comprehensive range of healthcare products and services. As an actuary at UnitedHealth Group, you'll be part of a dynamic team that plays a crucial role in managing risks and ensuring the financial stability of the company's healthcare offerings. Actuaries utilize advanced statistical models and data analysis techniques to evaluate risks, develop pricing strategies, and provide insights that drive evidence-based decision-making. UnitedHealth Group's commitment to innovation and technology-driven solutions creates exciting opportunities for actuaries. Collaborating with diverse teams, actuaries analyze complex healthcare data, identify trends, and develop innovative solutions that improve patient outcomes while managing costs. Professional growth is highly valued at UnitedHealth Group, and actuaries have access to ongoing training and development opportunities. Actuaries can enhance their skills, stay at the forefront of industry advancements, and contribute to the company's mission of making healthcare more accessible and affordable. Join UnitedHealth Group's esteemed actuarial team and embark on a rewarding career where you can make a meaningful impact on the health and well-being of individuals and communities. Enjoy competitive benefits, a supportive work environment, and the opportunity to shape the future of healthcare.