- Work closely with Finance, Actuarial, and Affordability partners to develop financial projections and forecasts of expected savings from key affordability programs. Also, build comparisons of actual to expected results and develop explanations of variances
- Provide management with unbiased advice regarding medical cost strategy, including review of affordability programs strategy, operational outcomes, and financial metrics
- Build solid relationships within the organization including finance, network, product, actuarial, clinical, and operations
- Work with other healthcare economics teams across the enterprise to continually improve and refine processes and approaches
- ASA or FSA designation
- 5+ years of experience in data analytics, specifically interpreting and communicating the results to a broad range of customers and business leaders
- 3+ years of experience in financial modeling; for example reserving, pricing, forecasting, etc.
- Extensive and expert knowledge of concepts and methodologies in health care environment
- Advanced or higher proficiency with MS Excel formulas, calculations, charts, graphs
- Advanced or higher proficiency with query writing in SAS and/or SQL
- Proven excellent interpersonal skills and ability to collaborate with internal customers across multiple departments
- Proven ability to approach issues from broad strategic perspective while also focusing on the details
- Proven excellent written and verbal communication skills
- Medicare experience
- Experience with Utilization Management (UM) affordability programs
- Leadership experience with demonstrated prudent decision-making skills and notable initiative and resourcefulness
- Experience in a management role with demonstrated success in maximizing value from analytical staff
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Associate Director of Actuarial Services - Minnetonka, United States - UnitedHealth Group
Description
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Associate Director of Actuarial Services within UHC Medicare & Retirement will perform critical research and investigation of key business problems through quantitative analysis of Medicare Advantage data. The Associate Director will proactively identify, communicate, and lead organizational dialogue on opportunities and risks throughout the organization, primarily on topics such as national medical costs, national medical trends, and Utilization Management (UM) affordability programs. As a subject matter expert, the Associate Director will interpret and analyze data from various sources (e.g. claims, authorizations, member data) and recommend best approaches to transform the healthcare industry. The successful candidate will be a key player in setting business strategy using data and analytics to improve member outcomes while delivering savings to the healthcare system.
The environment is challenging and fast-paced, requiring flexibility and curiosity. Team members are expected to have a high level of energy, a passion for driving demonstrable value at speed, and making a positive impact both within and beyond United Healthcare.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. The preferred location for this position is the Minnetonka, MN office.
Primary Responsibilities:
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:
Preferred Qualifications:
*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 California, Colorado, Connecticut, Nevada, New Jersey, New York, Rhode Island or Washington residents is $104,700 to $190,400 annually. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.
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.
