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Actuarial Sr Consultant
3 months ago
In joining the Optum Advisory Services Trend Analytics Consulting team: you'll be part of a team that is leader in health care cost analytics, with a proven track record of supporting health plans 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 consulting presence by identifying, developing, and executing on new and exciting business opportunities.
As a member of our high-performing team, you'll help support Optum's growth and financial goals while you help shape our future. As an Sr. Actuarial Consultant, you will be empowered, supported, and encouraged to use your actuarial expertise as you perform financial analysis and build models that improve health plan competitiveness. You'll find an accelerated actuarial development path to support you in your continuing post-graduate education and certification.
On our team you'll have the opportunity to:
- Solve problems through issue identification, research and data gathering; Accurate and insightful analysis; Relevant and actionable recommendations
- Develop Written communications, persuasive presentations & compelling deliverables
- Build and leverage relationships with colleagues and clients
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
Primary Responsibilities:
As the Actuarial Sr. Consultant your focus will be on Pharmacy claims reporting, analysis, and forecasting.
- Work with comprehensive pharmacy claims data to design, build, and maintain actuarial spread and rebate forecasting models to assist with financial analyses
- Diagnose issues and root causes, providing strategic solutions tailored to pharmacy-related challenges
- Apply your technical acumen to complex pharmacy-centric analyses, gleaning insights that enhance the consulting engagement
- Deliver visually compelling, accurate, and client-ready deliverables focusing on pharmacy data and forecasts
- Develop logical narratives in response to client questions, demonstrating your content knowledge in pharmacy analytics
- Communicate with pharmacists, clinicians, actuaries, underwriters, and finance teams
- Your cross-team collaboration responsibilities will include:
- Leading meetings with various clients, clinical staff, and actuarial teams to validate and develop modeling assumptions pertinent to pharmacy analytics.
- Collaborating with key stakeholders to identify and develop pharmacy-related business questions for analytic investigation (e.g., pharmacy utilization analysis).
- Your research and analysis responsibilities will be to:
- Designing, executing, and assessing studies on pharmacy pricing, utilization, and healthcare costs for our diverse client base.
- Running complex data programs using relevant data/analytical tools (e.g., SAS, SQL, Excel, Tableau, PowerBI) to extract and analyze pharmacy-related data.
- Interpreting, compiling, and sharing results of pharmacy modeling analyses, offering coherent conclusions and recommendations.
- Effectively managing multiple tasks independently while working with team of individuals to creatively solution in a fast-paced environment.
Joining our team, you'll become part of a driven, focused group that prides itself on continuously improving business results. As a trusted subject matter expert tasked with incorporating traditional expertise into innovative, cutting-edge pharmacy actuarial/analytic solutions, you'll find your performance recognized and rewarded in an environment that provides clear direction for success.
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
- Candidates must be on the Actuarial exam track, having passed a minimum of 4 or more Actuarial exams
- 5+ years of Actuarial experience
- 3+ years of experience working with pharmacy claims data
Preferred Qualifications:
- 3+ years of hands-on experience in architecting and executing complex data programs, utilizing tools such as R, SAS, SQL, Tableau, PowerBI, VBA, and predictive modeling
- 3+ years of in-depth knowledge and experience working with pharmacy claims, including a comprehensive understanding of spread, rebates, drug costs, utilization, and pharmacy terminology
- 3+ years of experience demonstrating proficiency in forecasting medical or pharmacy claims, including the ability to understand and interpret complex factors such as drug costs and utilization
- 2+ years of experience developing and presenting complex analyses to cross-functional teams
- Located in Minnesota or Willing to relocate to Minnesota
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.
