Associate Director, Actuarial Services - Multiple Locations

For those who believe in the power of data to help write the next chapter in health care, here's your opportunity. Being an Associate Director of Actuarial Services at UnitedHealth Group is about far more than numbers. It's about analyzing data and delivering bold, business-savvy solutions to help millions live healthier lives. You'll work with an elite team and you'll open doors to countless new career opportunities with your performance. Join us. And start doing your life's best work.(sm)

As the Associate Director of Actuarial Services, you will perform critical complex research and ad-hoc studies to assist Optum and our clients to understand Medicare risk trends. In this role you will need to understand our clients' objectives to better plan future enhancements to existing methodologies. You will need to be detail oriented, but also to be able to analyze potential risks and to find ways to mitigate these risks. Unique to this position is the ability to greatly impact the clients' revenue.

Primary Responsibilities:

• Perform risk adjustment analytics
  
• Perform remediation & risk mitigations
  
• Perform compliance risks & financial modeling
  
• Perform Medicare Risk-Adjustment - Risk Score Projection & Revenue Forecasting
  
• Perform CMS over-payment revenue recovery and capitation payment estimate
  
• Provide financial valuations and recommendations to attorney-client privileged litigations and drive research objectives to resolutions
  
• Perform industry research and trends analysis to support clients various business objectives such as pricing, bid process and products developments
  
• Coordinate with team members and collaborate with clients, specialized external consultants, legal and IT to mitigate multi-billion dollars claims exposures
  
• Provide quality revenue forecasting services for multiple clients, assist with financial accruals related to CMS Mid-Year and Final adjustment
  
• Develop and maintain financial valuation, allocation and reconciliation methodology to reconcile payment recovery
  
• Communicate complex concepts to Executive staff
  
• Research and ad-hoc trends studies

Required Qualifications:

• Bachelor's degree
  
• 5+ years of data scientist, actuarial, statistical or analytical experience
  
• Experience working in the health care industry
  
• Expertise working with formulas, calculations, charts, graphs in MS Excel
  
• Basic level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language)

Preferred Qualifications:

• ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation
  
• Medicare risk adjustment experience

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: 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.

Job Keywords: senior Actuarial job, Actuary, math, statistical, healthcare, management, modeling, pricing, reserving, consulting, trending, forecasting, analysis, SQL, SAS, FSA, ASA, Santa Ana, California, CA, Eden Prairie, Minnesota, MN