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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
As an Associate Director of Actuarial Services , you will be empowered, supported and encouraged to use your actuarial expertise as you build and maintain actuarial models to support financial analysis for our Value-Based Care (VBC) business. You'll find an accelerated actuarial development path to support you in your continuing post-graduate education and certification. The successful candidate will have a strong background in actuarial science, a technical skillset to take on complex VBC modeling and the curiosity and desire to become a thought leader in their areas.
This position manages analysts responsible for assessing and quantifying risk in risk-based contracts across the provider organization and developing and maintaining actuarial models used to support contract negotiations.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Oversee, build and maintain actuarial models used for forecasting, negotiations, and tracking performance risks associated with value-based arrangements
- Drive strategic insight into profitability by leading analysis and communication of key drivers, distinguishing impacts from business and regulatory changes versus revenue and medical trends
- Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders
- Serve as a key resource for risk-taking provider organizations and physician groups
- Communicate results and provide recommendations to stakeholders on business performance and strategic actions
- Contribute thought leadership, provide actuarial recommendations, and assist Finance leadership with Medicare Advantage, Commercial, and Medicaid risk contracting
- Mentor, direct and review work of a team of 1-3 analysts
All while working in an environment that allows:
- Effective project & time management; Flexibility in your work schedule
- Participation in team problem solving; Contribution to team effectiveness
- Inclusion into the UHG Actuarial Study Program, including company sponsored study hours and study materials
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 in Actuarial Science, Mathematics, or related field
- 2+ years of experience analyze and transforming large healthcare claims datasets
- 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
- 3+ years of experience in Medicare Advantage, bid/risk score development, value-based care (VBC) modeling, or government programs in general
- Proficiency in Excel and SQL
- Excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion
Preferred Qualifications:
- ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation
- Experienced in mentoring and/or leading junior analysts
- Experienced presenting business insights and summaries to inform decisions to stakeholders
- Demonstrated ability to be self-motivated, inquisitive, and quick to learn new business concepts, with a proactive approach to taking initiative
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $170,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Skills Required
- Bachelor's degree in Actuarial Science, Mathematics, or related field
- 2+ years of experience analyzing and transforming large healthcare claims datasets
- 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
- 3+ years of experience in Medicare Advantage, bid/risk score development, value-based care (VBC) modeling, or government programs
- Proficiency in Excel and SQL
- Excellent problem-solving, communication, and critical thinking skills
- ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation
- Experience mentoring and/or leading junior analysts
- Experience presenting business insights and summaries to stakeholders to inform decisions
- Self-motivated, inquisitive, quick to learn new business concepts, proactive initiative
Optum Compensation & Benefits Highlights
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Healthcare Strength — Health coverage offers copay and HSA medical options with dental, vision, company‑paid life and disability, and free or low‑cost virtual visits. Feedback suggests the offering is comprehensive and competitive on paper.
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Parental & Family Support — Time off and family supports include PTO, eight paid holidays plus a floating day, six weeks paid parental leave, up to two weeks paid caregiver leave, Bright Horizons back‑up care, and adoption assistance up to $10,000. Feedback suggests these resources are meaningful for caregivers and family needs.
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Retirement Support — Savings programs include a 401(k) with employer match (after one year, vesting after two) and a 10%‑discount Employee Stock Purchase Plan. These programs bolster long‑term financial security when combined with other savings resources.
Optum Insights
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.