Description

Optum is a global organisation that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

In healthcare, evolution does not just happen. It takes innovation, imagination, and a passion for solving problems in new and better ways. And innovation is taking place at a lightning-fast pace every day at Optum. As the fastest growing part of the UnitedHealth Group family of businesses, we ' re expanding our team in Ireland and creating excellent opportunities for those who want greater purpose and more impact in their work. We ' ll provide the investment, support, and resources to advance your career. You'll provide the talent, ambition, and drive.

The UnitedHealthcare Out of Network team solve complex data, medical, legal and negotiation problems for our members. As an Associate Director of Actuarial Services, you will play a pivotal role in this team by applying your actuarial training to understand some of the most pressing challenges in the U.S. healthcare system. Join us and be part of a dynamic team that is making a real difference in the lives of millions.

Schedule: Full-time position with standard working hours of Monday - Friday, 9am - 5pm.

Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Dublin or Letterkenny office and telecommuting from a home-based office in a hybrid work model.

Primary Responsibilities:

• Ideate and develop impactful reporting solutions, taking full ownership of projects from problem framing and data exploration to model development, deployment, and monitoring
• Understand the business and member impact of legislation driving Out of Network Claim solutions. Use this to develop and report on vital metrics
• Lead by example by communicating clearly with stakeholders and understanding how our reporting, product and data science life cycle can be elevated
• Combine detailed understanding with high level strategic view. Develop commercial solutions by understanding the underlying factors involved
• Contribute to the evolution of our reporting and data science infrastructure, working with platform teams to enhance tooling for experimentation, model monitoring, and reproducibility
• Collaborate closely with business and technical leadership, acting as a strategic thought partner to shape the roadmap for data-driven innovation across claims data, program management, and member experience
• Drive cross-functional initiatives, using experimentation, and advanced analytics to define success metrics and guide decision-making
• Translate complex healthcare data into actionable insights, integrating diverse data sources to build a comprehensive view of network behavior, risk, and opportunity.
• Proactively surface emerging risks and opportunities, using anomaly detection, fraud analytics, and pattern recognition to inform strategic interventions
• Represent the Out of Network function in executive forums, clearly communicating technical insights and their strategic implications to influence decisions and investments
• Develop your understanding of healthcare and the U.S. healthcare system, ensuring that solutions are context-aware and impactful

You will be rewarded and recognised 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 providing development for other roles you may be interested in.

Required Qualifications:

• Bachelor's Degree (or higher) in a quantitative field such as mathematics, statistics, computer science, actuarial science, engineering, or related discipline
• Extensive experience in SQL and Python/R with a track record of building reporting solutions
• Experience applying reporting solutions to real-world business challenges, driving measurable impact

Preferred Qualifications:

• Master's Degree (or higher) in a quantitative field or relevant professional qualification

Soft Skills:

• Demonstrated ability to solve complex technical problems with a hands-on approach
• Communication skills, with the ability to explain technical concepts to diverse audiences and influence decision-making
• Leadership in collaborative, cross-functional settings, including mentoring and setting technical direction

Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.

All telecommuters will be required to adhere to the UnitedHealth Group's Telecommuter Policy.

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 marginalised 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: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2025 Optum Services (Ireland) Limited. All rights reserved.

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