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Associate Actuarial Director - Remote

OptumEden Prairie, Minnesota, United States1w ago
RemoteMedicare AdvantagePricing & RatingPredictive Modelling & MLRisk Management, ERM & ORSA

Role Summary

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HIGHLIGHTS

Director-level health actuarial role focused on Medicare Advantage Special Needs Plans. Lead complex actuarial projects, develop models and forecasts, and provide strategic recommendations to product, provider and finance partners. Remote within the U.S.; Minneapolis/DC hires have an in-office requirement.

JOB DESCRIPTION SUMMARY

  • Lead actuarial modeling and forecasting for Medicare Advantage Special Needs Plans
  • Analyze large claims, utilization, and cost datasets to assess performance
  • Translate analytics into strategic recommendations for product and finance leaders
  • Remote role (U.S.-based); Minneapolis/DC hires required in-office four days/week
  • Mentor a small team of actuarial students and lead cross-functional projects

DOMAIN EXPERTISE

  • Healthcare actuarial experience
  • Modeling and trending benefit and utilization data
  • Developing and implementing benefit strategies and programs
  • Health care risk management and benefit operations
  • Familiarity with health plan analytics and actuarial modelling techniques

KEY REQUIREMENTS

  • Credentialed actuary required (ASA or FSA)
  • 5+ years of healthcare actuarial experience with leadership responsibility
  • Experience modeling and trending benefit and utilization data
  • Bachelor's degree in Actuarial Science, Mathematics, Finance or related field
  • Advanced proficiency with Excel, SAS, SQL, and Power BI

TECH STACK

  • Excel
  • Power_BI