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Actuarial Manager

3 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, 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.

This job role is in the Optum Advisory and Implementations business unit under the Government Programs Actuarial (GPA) practice. The GPA practice focuses on providing actuarial consulting services to Medicare and Medicaid payers. This actuarial consulting practice competes with other traditional actuarial consulting organizations in the industry. The GPA practice primarily works with non-United Health Group payer entities and focuses on creating top tier actuarial solutions for its customers. Since this job is a consultative role, work responsibilities will vary based on customer needs.

Traditionally, this role focuses on client facing projects and internal training needs for our analyst staff. The role will be supported by other actuarial analysts and consultants in the GPA practice and will include leadership of teams of analysts. While Medicaid expertise is requested, the job role will ultimately include opportunities to work on projects beyond Medicaid including Medicare Advantage pricing, financial forecasting, product design strategy, Part D modeling, ACA pricing and more.

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


Primary Responsibilities:

  • Mentor and develop an elite team of consulting Actuaries
  • Lead and participate in client relationships and oversee client assignments
  • Perform rate development and financial analytic actuarial activities related to Medicaid and Medicare programs. This includes strategic consulting related to Medicaid and DSNP market entry, initial product proforma development, providing Medicaid payers with analysis and opinion papers to influence rate negotiations
  • Leading, educating, and mentoring the actuarial analyst teams throughout the year to encourage ongoing technical skill development and industry awareness for the actuarial profession
  • Design and run complex data programs to create mathematical analyses and actuarial models


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 healthcare actuarial experience
  • 2+ years of Medicaid pricing or Medicaid healthcare economics experience


Preferred Qualifications:

  • On the actuarial exam track, having passed a minimum of 4+ actuarial exams
  • 3+ years of experience managing and providing work direction to a team
  • Experience with Medicaid rate negotiations or rate setting for state agencies
  • Consulting experience
  • ASA or FSA designation
  • Any technical skills with: Power BI, SQL, SAS, Python, data visualization, and data model design experience


*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 California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.


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 employers 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