Role Summary

HIGHLIGHTS

Senior Director, Actuarial (Health) supporting Optum Care’s at‑risk populations. You will lead enterprise medical expense forecasting, trend analytics, and executive reporting across Medicare, Commercial, Medicaid and Exchange lives. This senior leadership role is remote (U.S.) or based in Eden Prairie, MN, and requires deep healthcare actuarial judgment and experience managing teams and forecasting frameworks.

JOB DESCRIPTION SUMMARY

Lead enterprise medical expense forecasting for Optum Care (Medicare, Commercial, Medicaid, Exchange)
Own actuarial methodologies, assumptions, model governance, and automation
Produce executive‑level reporting and communicate drivers to senior leaders
Manage and mentor a high‑performing actuarial team in a matrixed environment
Remote U.S. option; Eden Prairie, MN preferred with local office requirement for some hires

DOMAIN EXPERTISE

Medical expense forecasting and trend development
Healthcare actuarial experience in payer, provider, or value‑based care
Experience with capitation and shared‑risk models
Developing actuarial models using large healthcare datasets
Executive‑level forecasting and risk communication

KEY REQUIREMENTS

Credentialed actuary required (ASA or FSA)
10+ years of healthcare actuarial experience with leadership responsibility
Significant experience in medical expense forecasting and trend development
Advanced proficiency with Excel and analytics tools (SQL, SAS, R, Python, VBA, Power BI)
Experience with risk‑based/value‑based care arrangements (capitation/shared risk)

TECH STACK

Excel
Power_BI

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead enterprise medical expense forecasting for Optum Care (Medicare, Commercial, Medicaid, Exchange)
Own actuarial methodologies, assumptions, model governance, and automation
Produce executive‑level reporting and communicate drivers to senior leaders
Manage and mentor a high‑performing actuarial team in a matrixed environment
Remote U.S. option; Eden Prairie, MN preferred with local office requirement for some hires

DOMAIN EXPERTISE

Medical expense forecasting and trend development
Healthcare actuarial experience in payer, provider, or value‑based care
Experience with capitation and shared‑risk models
Developing actuarial models using large healthcare datasets
Executive‑level forecasting and risk communication

KEY REQUIREMENTS

Credentialed actuary required (ASA or FSA)
10+ years of healthcare actuarial experience with leadership responsibility
Significant experience in medical expense forecasting and trend development
Advanced proficiency with Excel and analytics tools (SQL, SAS, R, Python, VBA, Power BI)
Experience with risk‑based/value‑based care arrangements (capitation/shared risk)

TECH STACK

Excel
Power_BI

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead enterprise medical expense forecasting for Optum Care (Medicare, Commercial, Medicaid, Exchange)
Own actuarial methodologies, assumptions, model governance, and automation
Produce executive‑level reporting and communicate drivers to senior leaders
Manage and mentor a high‑performing actuarial team in a matrixed environment
Remote U.S. option; Eden Prairie, MN preferred with local office requirement for some hires

DOMAIN EXPERTISE

Medical expense forecasting and trend development
Healthcare actuarial experience in payer, provider, or value‑based care
Experience with capitation and shared‑risk models
Developing actuarial models using large healthcare datasets
Executive‑level forecasting and risk communication

KEY REQUIREMENTS

Credentialed actuary required (ASA or FSA)
10+ years of healthcare actuarial experience with leadership responsibility
Significant experience in medical expense forecasting and trend development
Advanced proficiency with Excel and analytics tools (SQL, SAS, R, Python, VBA, Power BI)
Experience with risk‑based/value‑based care arrangements (capitation/shared risk)