Director, Actuarial Services - Remote
Optum
- Salary
- $135k - $231k
- Experience
- 7+ Years
Role Summary
Role type
Pricing partner to risk-taking providers
Closer to a pricing and underwriting partner than a reserving cycle role because the work supports live risk-based contract terms and negotiations.
Director-level U.S. remote Health actuarial role on Optum's National Actuarial and Healthcare Economics team. You will lead Medicare ACO and Medicare Advantage risk work, including forecasting, financial terms, predictive modelling, contract negotiations, and executive communication, while managing actuarial teams.
Requirements
Must have
- Pass a drug test before beginning employment
Strongly preferred
- ASA designation
- 7+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
- 3+ years of experience with Traditional Medicare value-based arrangements, Medicare Advantage products, MA Risk Adjustment, Medicare bids, or VBC modeling
- 2+ years of experience managing actuarial analysts
- Proficiency in Excel and SQL
- Proven excellent problem-solving and communication skills, with critical thinking to anticipate stakeholder questions
Nice to have
- FSA or progress toward FSA designation
- Experienced presenting business insights to stakeholders
- Proven ability to self-motivate, quickly learn new business concepts, and take initiatives
- Experienced with Underwriting and/or VBC modeling
Skills & Domain
ToolsExcel
DomainMedicare value-based arrangementsMedicare Advantage productsMedicare Risk AdjustmentHealthcare analytics and modelingVBC modeling