Senior Actuarial Analyst, ALDP - Remote - Minnetonka, MN Hybrid preferred

Posted 2 Hours Ago
Be an Early Applicant
Hiring Remotely in Minnetonka, MN, USA
Remote or Hybrid
73K-130K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Lead Medicaid pricing analysis and actuarial modeling to optimize revenue for Community & State business. Analyze state rate files, claims, forecasts, and trends, support product development, competitive analysis, and process automation while working cross-functionally with internal and external actuarial stakeholders.
Summary Generated by Built In
Requisition Number: 2360244
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
This Senior Actuarial Analyst will be part of a team that oversees the Medicaid pricing process from beginning to end. Working cross-functionally with health plan market leadership, forecasting, medical economics, accounting, and many other teams across the organization as well as with external partners to ensure appropriate funding for our Community and State business. This role will be tasked with analyzing state rate files and information, trends, claims experience, and eligibility to identify and advocate for appropriate reimbursement for covering our members, utilizing a data-driven analytical approach. This role will require a technical approach to support pricing initiatives.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. The preferred location for this position is the Minnetonka, MN office. Candidates who would work remote in the U.S. will also be considered.
Primary Responsibilities:
  • Evaluate and analyze Medicaid pricing files and processes for our Medicaid markets to optimize revenue within Community & State
  • Perform studies on pricing, utilization, and health care costs
  • Perform analytics to identify opportunities for revenue adjustments, including program changes, trends, and administrative costs
  • Support the execution of complex data programs to perform mathematical analyses and actuarial modeling
  • Analyze forecasts and trends and translate complex data in ways that can be understood by a variety of audiences
  • Perform competitive analysis and determine the impact on premiums and various product proposals
  • Support the development and implementation of new products
  • Support new and existing business, which may require working directly with state actuaries as well as other MCO and industry actuarial teams
  • Identify opportunities for process improvements and support implementing those process improvements
  • Update automated processes for the team

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 or equivalent years of experience in an actuarial or analytic role
  • Must be on the Actuarial exam track, having passed 2 or more Actuarial exams
  • 2+ years of experience working in a corporate environment including experience collecting, analyzing and summarizing qualitative/quantitative data
  • Advanced or higher level of proficiency with Excel

Preferred Qualifications:
  • Basic or higher level of proficiency with SAS, SQL and/or Snowflake
  • Proven excellent verbal and written communication skills
  • Proven analytical and critical thinking skills

*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 $72,800 - $130,000 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.
#BI-Hybrid

Skills Required

  • Bachelor's degree or equivalent years of experience in an actuarial or analytic role
  • On the actuarial exam track, having passed 2 or more actuarial exams
  • 2+ years of corporate experience collecting, analyzing, and summarizing qualitative/quantitative data
  • Advanced or higher level of proficiency with Excel
  • Basic or higher level of proficiency with SAS, SQL and/or Snowflake
  • Proven excellent verbal and written communication skills
  • Proven analytical and critical thinking skills

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Healthcare Strength Official materials highlight copay and HSA medical plan choices with in‑network preventive care at 100%, prescription coverage, and low/no‑cost virtual visits, plus company HSA contributions. Dental preventive services are 100% in network, and mental health resources include an EAP and premium Calm access.
  • Parental & Family Support Programs include six weeks paid parental leave, up to two weeks paid caregiver leave, and Bright Horizons back‑up care with enhanced family supports. Adoption assistance up to $10,000 for full‑time employees reinforces family‑oriented benefits.
  • Equity Value & Accessibility Financial benefits include an Employee Stock Purchase Plan at a 10% discount, expanding access to equity ownership.

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

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.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
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Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
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Houston, TX
Hyderabad, India
Jacksonville, FL
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Madison, WI
Minneapolis, MN
Nashville, TN
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San Diego, CA
Washington, DC
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