Actuarial Sr Consultant

1 month ago

Eden Prairie, Minnesota, United States UnitedHealth Group 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 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.

  • Actuarial Sr Consultant

    2 months ago

    Eden Prairie, Minnesota, 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,...

  • Actuarial Product Consultant

    2 months ago

    Eden Prairie, Minnesota, 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,...

  • Sr Actuarial Analyst

    2 months ago

    Eden Prairie, Minnesota, 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 they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented...

  • Senior Director, Actuarial

    1 month ago

    Eden Prairie, Minnesota, United States UnitedHealth Group 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,...

  • Sr Healthcare Economics Consultant

    2 months ago

    Eden Prairie, Minnesota, 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,...

  • Sr Healthcare Economics Consultant

    1 month ago

    Eden Prairie, Minnesota, 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,...

  • Business Process Consultant

    2 months ago

    Eden Prairie, Minnesota, 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,...

  • Sr Clinical Excellence Performance Consultant

    1 month ago

    Eden Prairie, Minnesota, 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,...

  • Sr. Director, People Team

    1 month ago

    Eden Prairie, Minnesota, 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,...

  • Senior Director, Payer Marketing for Pharma

    2 months ago

    Eden Prairie, Minnesota, 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,...

  • Epic Technical Associate

    4 weeks ago

    Eden Prairie, Minnesota, 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,...

  • Actuarial Sr Consultant

    1 month ago

    Eden Prairie, United States UnitedHealth Group 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,...

  • Actuarial Sr Consultant

    2 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,...

  • Actuarial Product Consultant

    2 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,...

  • Actuarial Manager

    3 months ago

    Eden Prairie, United States UnitedHealth Group 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,...

  • Sr Actuarial Analyst

    2 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 they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented...

  • Sr Actuarial Analyst

    2 months ago

    Eden Prairie, United States UnitedHealth Group 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 they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented...

  • Actuarial Manager

    3 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,...

  • Senior Director, Actuarial

    4 weeks 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,...

  • Actuarial Analyst Intern

    3 months ago

    Eden Prairie, United States UnitedHealth Group Full time

    **This Early Careers finance internship opportunity in actuarial will be available starting in June 2025.**Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a...

  • Sr. Financial Analyst Consultant

    2 months ago

    Eden Prairie, United States Dahl Consulting Full time

    Job Title: Sr. Financial Analyst ConsultantReports To: Director of FinancePosition Type: Full-Time, ConsultantJob Summary:We are urgently seeking a Sr. Financial Analyst Consultant with a strong background in cost management within the manufacturing sector. This role focuses on analyzing and managing shipping costs, with an emphasis on accounting principles...

  • Sr. Director of Affordability and Innovation

    3 months ago

    Eden Prairie, United States UnitedHealth Group 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,...

  • Consultant

    1 week ago

    Eden Prairie, United States pu5767v0Jmn50Y 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,...

  • Sr HCE Consultant, Data Science

    2 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,...

  • Business Process Consultant

    3 weeks 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,...

  • Sr. Technical Consultant, PBM New Client Implementations

    3 months ago

    Eden Prairie, United States Optum Full time

    As new pharmacy clients are welcomed to OptumRx, the new client implementation team offers a best-in-class onboarding experience that is powered by strong governance and project management.  The Sr. Business Analyst will work alongside the client implementation team to oversee all aspects of incoming files for new clients, including defining...

  • Sr Engineer-Voice of Customer Triage

    3 days ago

    Eden Prairie, United States Genesis10 Full time

    Genesis10 is seeking a Sr Engineer-Voice of Customer Triage for a contract with our client in Eden Prairie, MN. 100% Remote. Job Description: Our client is looking for a Tech Engineering Lead, experienced with voice of customer, triaging Open Enrollment comments and determining priority and identifying technical problems related to comments. Role will be...

  • Sr Clinical Excellence Performance Consultant

    1 month 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,...

  • Business Process Consultant

    2 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,...

  • Senior Director, Payer Marketing for Pharma

    3 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,...

  • Sr Business Analyst

    3 months ago

    Grand Prairie, United States Lrs Full time

    Job Description Fulcrum Consulting, an LRS company is seeking a Sr Business Analyst for a contract position with our client in Grand Prairie, TX. 2+ years of professional experience working with PIM/eCommerce strongly preferred. Considered a SME if possible. Breaking down business requirements into concise JIRA tickets (Epics, User Stories,...