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Actuarial Sr Consultant

4 months ago

Eden Prairie, United States Optum Full time

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.


In joining the Provider Actuarial services you'll be part of a team that is a leader in health care cost analytics, with a proven track record of supporting hospitals and health systems across the country though a diverse staff of Actuaries, Data/Research Analysts, and Business/Technology Consultants. Our consulting team has continued to expand capabilities and our consulting presence by identifying, developing, and executing on new and exciting business opportunities within the provider space.


You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.


Primary Responsibilities:

  • Bring traditional actuarial skills to provider organizations as the health care market continues to evolve, including:
    • Assist in developing innovative strategies, value-based contracts, and innovative risk-based arrangements
    • Develop, conduct, and evaluate studies on pricing, utilization, and health care costs for our broad range of provider clients
    • Prepare, forecast, and analyze trends
    • Interpret, compile, and disseminate results of modeling analyses with appropriate conclusions and recommendations to assist in client decision making and strategic direction
    • Support meetings across various clients, clinical staff, and actuarial teams to validate and develop modeling assumptions
    • Potential areas of focus may include but are not limited to: Healthcare Economics, benchmarking analysis, value-based contract feasibility analysis, outcomes analysis, and population health analytics
    • Develop professionally within an actuarial team, while collaborating with other clinicians, business analysts, and strategy consultants
    • Mentor junior analysts and review client deliverables


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:

  • 5+ years of Actuarial experience in healthcare field
  • Experience in using SQL and/or SAS
  • Experience performing and reviewing actuarial analysis for value-based care, provider contracting, and/or risk adjustment
  • Demonstrated desire to work in a consulting Actuarial role


Preferred Qualifications:

  • Candidates on the Actuarial exam track, preferably with ASA or FSA credential
  • Experience in Tableau or PowerBI
  • Experience validating, manipulating, and summarizing claims data
  • Experience and/or exposure to predictive modeling, clustering, etc.
  • Familiarity of health care claims (i.e. understanding of costs, expected claims, diagnosis codes, procedure codes)


*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy


California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The salary range for this role is $88,000 to $173,200 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.


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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.