Director Actuarial Services

2 weeks ago

Minnetonka, United States UnitedHealth Group Full time

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 a Director Actuarial Services within UHC M&R, you will lead actuarial efforts in owning the development of key inputs supporting the Medicare Advantage bid process.You will effectively perform data analysis, excel modeling and actuarial analytics while developing new processes and strengthening existing processes. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization.

Primary Responsibilities:

  • Leader on team preparing and certifying Medicare Advantage bid filings for UHC
  • Owns end-to-end process in making key decisions on projects and directing junior staff
  • Assist in leading and managing team of actuaries and actuarial students of varying levels
  • Understand MA bid pricing and certify bids of various product types
  • Identify inefficiencies in processes or models and proactively take steps to implement changes
  • Develop trusted and effective relationships with leaders in other areas of the company that we support
  • Effectively define and manage deadlines for projects that help meet overall team goals
  • Present findings in clear, compelling manner to senior leadership to provide information needed for optimal decision-making
  • Take the lead on answering audit questions with CMS and consulting actuaries around assumptions for bid submissions
  • Understand underlying financials and general ledger and impact on MLR and Part C Reporting requirements
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:
  • Credentialed actuary (FSA or ASA)
  • 10+ years of health care actuarial industry experience
  • Medicare Advantage pricing experience
  • Proven ability to create applicable data models and aggregate, review and analyze applicable data for various projects
  • Proven excellent communication skills: experience clearly articulating technical concepts to non-technical audiences and the ability to understand perspectives of multiple constituents
  • Demonstrated ability to identity, evaluate and recommend appropriate strategies
Preferred Qualifications:
  • 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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