In joining the Optum Advisory Consulting team: you'll be part of a team that is a leader in health care cost analytics, with a proven track record of supporting clients 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 our 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. You will be empowered, supported, and encouraged to use your expertise as you perform financial analysis and build models that improve health plan competitiveness.
Be part of a fast-growing team!
As an Actuarial Modeling Specialist, you will provide actuarial and technical support for Optum's cloud-based Actuarial Models that are utilized by clients to price and forecast healthcare costs. You will work with a team of actuaries, underwriters, data engineers and developers to develop, maintain and enrich Optum's cloud-based rating models.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Work within databricks environment; utilize Python and SQL to conform and prepare data for Optum rating models
- Work with clients to understand and document customization requirements
- Design and implement client-specific solutions for Optum rating models. Analyze advantages and limitations of multiple solutions options. Recommend and develop preferred option
- Review, audit, and evaluate data from internal and external sources - includes data cleaning, manipulation, reconciliation and analysis
- Perform analysis and reconciliation of data sources using python/SQ
- Other ad-hoc analyses as needed
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 Programming experience (Python, R, SQL, SAS, or similar language)
- 3+ years healthcare claims data manipulation and reconciliation experience
- 3+ years working with health care claims data including understanding of costs, expected claims, diagnosis codes, procedure codes and service categorization
- 2+ years of experience managing and providing work direction to a team
- Working knowledge of healthcare plan designs and cost sharing attributes
- Demonstrated interpersonal and customer service skills
Preferred Qualifications:
- Candidates on the Actuarial exam track, preferably with ASA or FSA credential
- Experience working with large datasets and assessing data quality
- Experience working with the StepWise Suite
- Experience working as an underwriter or actuary in commercial healthcare
- Experience with healthcare rating systems development
- Proven solid leadership skills and initiative to lead a technical workstream independently
*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 this role is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Working at
UnitedHealth Group
UnitedHealth Group is a leading healthcare company that is dedicated to improving the health and well-being of people around the world. With a vast network of businesses, UnitedHealth Group offers a comprehensive range of healthcare products and services. As an actuary at UnitedHealth Group, you'll be part of a dynamic team that plays a crucial role in managing risks and ensuring the financial stability of the company's healthcare offerings. Actuaries utilize advanced statistical models and data analysis techniques to evaluate risks, develop pricing strategies, and provide insights that drive evidence-based decision-making. UnitedHealth Group's commitment to innovation and technology-driven solutions creates exciting opportunities for actuaries. Collaborating with diverse teams, actuaries analyze complex healthcare data, identify trends, and develop innovative solutions that improve patient outcomes while managing costs. Professional growth is highly valued at UnitedHealth Group, and actuaries have access to ongoing training and development opportunities. Actuaries can enhance their skills, stay at the forefront of industry advancements, and contribute to the company's mission of making healthcare more accessible and affordable. Join UnitedHealth Group's esteemed actuarial team and embark on a rewarding career where you can make a meaningful impact on the health and well-being of individuals and communities. Enjoy competitive benefits, a supportive work environment, and the opportunity to shape the future of healthcare.