Actuarial Director

4 weeks ago

Eden Prairie, Minnesota, United States Optum Full time
Optum Actuarial Director Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our team is dedicated to improving health outcomes by connecting people with the care, pharmacy benefits, data, and services they need to feel their best. We strive to create a culture guided by diversity and inclusion, where talented peers, comprehensive benefits, and career development opportunities thrive.

This role is part of 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, competing with traditional actuarial consulting organizations in the industry. We work with non-United Health Group payer entities, creating top-tier actuarial solutions for our customers. As a consultative role, work responsibilities will vary based on customer needs.

We are seeking an experienced actuarial expert who can lead teams in the execution of strategic, actuarial, and consulting activities within Optum's Payer Advisory Practice, primarily focused on public programs for Medicaid and Dual-Eligible populations. This role will establish, maintain, and own relationships with payer clients, executing projects around various Actuarial products/services and other Optum healthcare offerings relevant to their business needs.

Key Responsibilities:
  • Strategic and/or technical leadership on client teams on projects primarily around Medicaid programs, actuarial solution development, and broader analytical initiatives
  • Lead teams to deliver timely and business-relevant results across multiple work streams while maintaining actuarial process standards and controls
  • Deliver expert strategic actuarial advice to clients to ensure long-term profitable growth
  • Lead the design and development of actuarial solutions (models and processes)
  • Contribute to growth goals of the practice individually and as part of the broader team
Requirements:
  • ASA or FSA Actuarial Credential
  • 10+ years of healthcare actuarial experience with experience in a Medicaid Actuarial role
  • Experience managing complex actuarial projects and staff
  • Expert knowledge of key actuarial processes of Managed Care organizations, clinical analytics, and Medicaid rate renewal processes
  • Demonstrated ability to speak credibly to current industry issues, regulatory and competitive challenges, and practices regarding the government services market
  • Proven problem-solving skills (identification of issue, causes, solution, implementation plan)
Preferred Qualifications:
  • Experience with advanced predictive analytics/machine learning
  • Proven intellectual curiosity - ability and willingness to learn new actuarial concepts
  • Proven desire to actively develop and pursue sales opportunities as part of teams
  • Proven solid ability to influence, motivate, and correct others in a positive, constructive, and respectful way

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