- Drive the organization's analytics strategy, partnering with technology and data experts to build population health and medical expense affordability analytics, leveraging claims and clinical information
- Provide strategic guidance and insight that enables the enterprise to make informed decisions by providing clinical, network, and financial analysis; consulting; and reporting to a broad range of business functions across Optum Health
- Lead a large, complex organization comprised of actuaries, statisticians, and experts in healthcare economics, risk & quality, data management, and network and payer analysis and strategy
- Partner closely with the leadership teams of the Optum Health businesses to gain business insights and ensure collaboration of teams to maximize analytic capabilities, tools, and resources to meet business objectives
- Responsible for monthly medical expense forecasts, reserving, pricing trends, explanation of medical cost results and variances, evaluation of emerging medical cost issues, and ideation, development, and evaluation of health care affordability initiatives
- Maintain strong relationships with business CEOs, CFOs, finance, clinical, network, affordability, and product teams
- Bachelor's degree
- 15+ years of Actuarial and Healthcare Economics experience
- 10+ years of management experience including management of senior staff
- Solid executive presence and ability to communicate clearly and with influence to senior executives.
- Proven ability to perform and manage complex actuarial tasks that have a large financial and risk impact
- Significant background in medical cost reserving, trend analysis, and medical expense forecasting
- Significant experience working with non-actuarial staff including underwriting, clinical, finance, network, and product teams
- Demonstrated knowledge of the health care industry within a complex, matrixed organization
- Excellent communication skills and the ability to summarize and present results to senior management
- Ability to explain and resolve highly complex business problems
- FSA designation
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Senior Vice President, Health Actuarial and Healthcare Economics - Eden Prairie, United States - Optum
Description
Optum is a global organization 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.
The SeniorVice Presidentof Optum Health Actuarial and Healthcare Economicsleads a team of 450 actuaries, statisticians, analysts, and experts in the field of risk management, data management, and financial analysis to support the Optum Health businesses. The contributions of this role are crucial for Optum Health to the achieve its objectives through reserving, medical expense forecasting, identification of medical expense management opportunities, and evaluation and measurement of medical expense management programs and initiatives. The leader will work with the team to communicate the financial and clinical performance of the organization to key leaders and stakeholders.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
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:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
California, Colorado, Connecticut, Hawaii, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Hawaii, Nevada, New York, Rhode Island, or Washington residents is $300,000 to $400,000 per year. 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
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.
