The Associate Director, Actuarial is a key role within our OptumHealth National Actuarial and Healthcare Economics (HCE) team, responsible for overseeing, executing and communicating key actuarial functions for our Medicare Accountable Care Organizations (ACO) lines of business. This role involves managing resources and deliverables while providing customers in a risk-taking provider organization with business recommendations and contributing to the company's financial success. The successful candidate will have a solid background in actuarial science, a technical skillset to take on complex Value-Based Care (VBC) modeling and the curiosity and desire to become a thought leader in their areas.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:- Oversee, build and maintain actuarial models used for forecasting and tracking performance risks associated with Medicare ACO lines of business (ACO REACH, LEAD, MSSP/Medicare Shared Saving Programs)
- Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders
- Serve as a key resource for risk-taking provider organizations and physician groups
- Communicate results and provide recommendations to stakeholders on business performance and strategic actions
- Contribute thought leadership and assist customers with evaluating and implementing new and existing Value-Based Care (VBC) programs
- Mentor, direct and review work of a team of 1-2 analysts
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:- Bachelor's degree in Actuarial Science, Mathematics, or related field
- 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
- 3+ years of experience analyzing and manipulating large healthcare claim datasets
- Proficiency in Excel and SQL
- Proven excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion
Preferred Qualifications:- ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation
- Experienced with any of the following: Government Programs, Medicare Advantage (MA) products, CMS ACO/Alternative Payment Models, and/or VBC modeling
- Experience presenting business insights and summaries to inform decisions to stakeholders
- Proven ability to self-motivate, quickly learn new business concepts and take initiatives
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 - $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
