This Senior Actuarial Analyst will be part of a team that oversees the Medicaid pricing process from beginning to end. Working cross-functionally with health plan market leadership, forecasting, medical economics, accounting, and many other teams across the organization as well as with external partners to ensure appropriate funding for our Community and State business. This role will be tasked with analyzing state rate files and information, trends, claims experience, and eligibility to identify and advocate for appropriate reimbursement for covering our members, utilizing a data-driven analytical approach. This role will require a technical approach to support pricing initiatives.
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. The preferred location for this position is the Minnetonka, MN office. Candidates who would work remote in the U.S. will also be considered.
Primary Responsibilities:- Evaluate and analyze Medicaid pricing files and processes for our Medicaid markets to optimize revenue within Community & State
- Perform studies on pricing, utilization, and health care costs
- Perform analytics to identify opportunities for revenue adjustments, including program changes, trends, and administrative costs
- Support the execution of complex data programs to perform mathematical analyses and actuarial modeling
- Analyze forecasts and trends and translate complex data in ways that can be understood by a variety of audiences
- Perform competitive analysis and determine the impact on premiums and various product proposals
- Support the development and implementation of new products
- Support new and existing business, which may require working directly with state actuaries as well as other MCO and industry actuarial teams
- Identify opportunities for process improvements and support implementing those process improvements
- Update automated processes for the team
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 or equivalent years of experience in an actuarial or analytic role
- Must be on the Actuarial exam track, having passed 2 or more Actuarial exams
- 2+ years of experience working in a corporate environment including experience collecting, analyzing and summarizing qualitative/quantitative data
- Advanced or higher level of proficiency with Excel
Preferred Qualifications:- Basic or higher level of proficiency with SAS, SQL and/or Snowflake
- Proven excellent verbal and written communication skills
- Proven analytical and critical thinking skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
