Senior Actuarial Director

Posted Yesterday
Be an Early Applicant
Eden Prairie, MN, USA
In-Office
159K-273K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Lead a high-performing team in developing strategic actuarial analytics for Medicare, focusing on forecasting medical expenses and risk management. Oversee reporting and collaborate with various stakeholders.
Summary Generated by Built In
Requisition Number: 2361177
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.
As the Sr. Director of Actuarial Services on the UHG Trend Analytics team supporting Medicare, you'll play a pivotal role in delivering strategic analytics that shape how we understand, manage, and predict health care expenses across a diverse set of United Heathcare's Medicare populations. You will lead a high-performing team responsible for producing enterprise critical actuarial analytics focused on forecasting and explaining medical expense across UHC's Medicare Advantage business.
You will oversee the development of forward looking medical cost forecasts, trend analytics, and executive reporting used by senior leaders to manage financial performance, understand risk, and guide strategic actions. This is a high visibility leadership role requiring solid actuarial judgment, deep understanding of provider risk arrangements, and the ability to translate complex analyses into clear, actionable insights for executive audiences.
The Sr. Director in this role will work with detailed claims, clinical, and financial data to deliver accurate, timely, and decision ready medical expense forecasts for UHC's Medicare Advantage populations.
Relocation assistance available. Commutable candidates encouraged.
Primary Responsibilities:
  • Lead enterprise medical expense forecasting for the Medicare Advantage business
  • Own actuarial methodologies and assumptions supporting medical cost projections, trend development, and risk assessment
  • Oversee executive level medical expense reporting and forecast commentary, ensuring accuracy, transparency, and consistency across segments and markets
  • Develop and evolve forecasting frameworks from inception through automation, including data sourcing, model design, validation, and governance
  • Partner closely with Finance, Clinical, Operations, and Market leaders to align actuarial views with business realities and operational insights
  • Serve as a trusted actuarial advisor to senior leadership-explaining forecast changes, emerging risks, and key medical cost drivers
  • Lead scenario analysis and risk assessments to support budgeting, outlook, and strategic planning processes
  • Translate complex actuarial analyses into concise executive messaging-clearly articulating implications, risks, and recommended actions
  • Establish and maintain solid quality assurance, controls, and documentation across all forecasting and reporting outputs
  • Foster a culture of continuous improvement, innovation, and collaboration within the actuarial team
  • Mentor and develop actuarial talent; build high performing teams capable of operating in fast paced, ambiguous environments

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, Statistics, or related field
  • Credentialed Actuary (FSA or ASA)
  • 10+ years of healthcare actuarial experience with increasing leadership responsibility
  • Significant experience in medical expense forecasting, trend development, and risk management within payer, provider, or value based care environments
  • Demonstrated ability to develop actuarial models and analytic solutions using large, complex healthcare datasets
  • Proven track record delivering accurate, timely, executive level medical cost forecasts in dynamic environments
  • Proven solid executive communication skills with ability to clearly explain assumptions, risk, and uncertainty
  • Experience working in Medicare Advantage
  • Advanced proficiency in Excel and experience working with analytic tools such as SQL, SAS, R, Python, VBA, Power BI, or similar platforms

Preferred Qualifications:
  • Leadership experience with large payers or provider organizations
  • Experience forecasting medical expense across Medicare
  • Experience leading teams in matrixed organizations
  • Consulting background supporting payer or provider financial strategy
  • Demonstrated success influencing senior leadership through data driven insights
  • Reside in Eden Prairie, MN

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 $159,300 to $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.

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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
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