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.
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.