Associate Director Actuarial Services

2 weeks ago

Hopkins, United States UnitedHealthcare Full time
Job Description

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

 

As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process.  You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization.

 

Primary Responsibilities:

  • Prepare Medicare Advantage bids submitted to CMS annually
  • Conduct data analysis and prepare reports for Medicare Advantage submissions
  • Understand and interpret the key drivers of health care trends; projecting expected revenue and cost
  • Develop pricing methodologies and assumptions
  • Conduct and evaluate studies on pricing, utilization and health care costs
  • Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions
  • Perform quantitative analysis of actuarial, financial, utilization and costs data
  • Analyze forecasts and trends to help leaders make decisions

 

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:

  • ASA Credential or greater
  • 5+ years of Actuarial experience
  • Experience with Medicare Advantage
  • Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations)

 

Preferred Qualifications:

  • Experience working in the finance-related field of the health care industry
  • Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language)

 

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.

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