Description

Associate Director Actuarial Services - 2332089

EMPLOYER: Optum Services Inc.

JOB TITLE: Associate Director Actuarial Services

LOCATION: 1 Optum Circle, Eden Prairie, MN 55344 (Telecommuting available from anywhere in the U.S.)

DUTIES: Analyze statistical data and construct probability tables to forecast risk and liability for payment of future benefits. Duties to include: Produce quarterly internal forecasting and budgeting process for multiple clients; optimize and standardize the process across clients aligning model assumptions with industry standards; quantify the performance of value-based and shared savings arrangements by assessing medical loss ratios relative to a designated baseline year, while considering clinical acuity and material adverse changes; collaborate with finance teams to monitor performance against forecasts; analyze the casual factors behind differences, troubleshoot discrepancies arising from missing data, align on client deliverables, and effectively communicate actuarial concepts to non-actuarial audiences; work on the strategic evolution of pricing, utilization, and cost methodologies, along with underlying assumptions, integral to the refinement of forecasting and budgeting processes; conduct settlement reconciliations to assess incongruities between client's final settlements and Landmark's and factors driving variances; engage with clients to solicit supplementary information; conduct a retrospective forecast assessment, scrutinizing the accuracy of our predictions against actual runout across snapshots in time; discern patterns in risk score growth and medical expense savings, emphasizing key metrics including medical loss ratio, net savings, material adverse changes, and final settlement; enhance the stop-loss tail estimation methodology by developing continuance tables for the precise calculation of stop-loss amounts; create comprehensive documentation for all proprietary processes used for knowledge transfer and managerial review; deliver comprehensive presentations to the actuarial team on healthcare industry topics; and highlight specialized modeling considerations tailored to populations with distinctive conditions, such as end-stage renal disease. Telecommuting available from anywhere in the U.S.

REQUIREMENTS: Employer will accept a Bachelor's degree in Mathematics, Economics, Actuarial Science, or related field and five (5) years of progressive, post-baccalaureate experience in job offered or in an analyst-related occupation. Position requires five (5) years of progressive, post baccalaureate experience in the following: Microsoft Excel and PowerPoint to build dynamic models and executive-level presentations; SQL expertise for querying, manipulating and validating large-scale claims and membership databases; SAS programming for data extraction, transformation and statistical analysis in an actuarial environment; Auditing and cleansing claims data to detect anomalies, reconcile discrepancies, and summarize findings; U.S. Medicare Advantage program, including CMS risk score methodologies, payment calculations, and reconciliation processes; Actuarial reserving techniques-development and analysis of lag triangles, loss ratio projections, seasonality adjustments, and IBNR estimation; and Forecasting models with proven ability to track performance against targets and explain drivers of variance for revenue, cost, and membership.

RATE OF PAY: $164,832.00-$216,090.00/ per year

Please apply via careers.uhg.com and search for job #2332089

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as matching 401k and an employee stock purchase plan.

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.