Job Information
UnitedHealth Group Actuarial Modeling Specialist - Remote in Eden Prairie, Minnesota
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.
In joining the Optum Advisory Consulting team: you’ll be part of a team that is a leader in health care cost analytics, with a proven track record of supporting clients across the country though a diverse staff of Actuaries, Data/Research Analysts, and Business/Technology Consultants. Our consulting team has continued to expand capabilities and our consulting presence by identifying, developing, and executing on new and exciting business opportunities. As a member of our high-performing team, you’ll help support Optum’s growth and financial goals while you help shape our future. You will be empowered, supported, and encouraged to use your expertise as you perform financial analysis and build models that improve health plan competitiveness.
Be part of a fast-growing team!
As an Actuarial Modeling Specialist, you will provide actuarial and technical support for Optum’s cloud-based Actuarial Models that are utilized by clients to price and forecast healthcare costs. You will work with a team of actuaries, underwriters, data engineers and developers to develop, maintain and enrich Optum’s cloud-based rating models.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Work within databricks environment; utilize Python and SQL to conform and prepare data for Optum rating models
Work with clients to understand and document customization requirements
Design and implement client-specific solutions for Optum rating models. Analyze advantages and limitations of multiple solutions options. Recommend and develop preferred option
Review, audit, and evaluate data from internal and external sources - includes data cleaning, manipulation, reconciliation and analysis
Perform analysis and reconciliation of data sources using python/SQ
Other ad-hoc analyses as needed
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:
5+ years Programming experience (Python, R, SQL, SAS, or similar language)
3+ years healthcare claims data manipulation and reconciliation experience
3+ years working with health care claims data including understanding of costs, expected claims, diagnosis codes, procedure codes and service categorization
2+ years of experience managing and providing work direction to a team
Working knowledge of healthcare plan designs and cost sharing attributes
Demonstrated interpersonal and customer service skills
Preferred Qualifications:
Candidates on the Actuarial exam track, preferably with ASA or FSA credential
Experience working with large datasets and assessing data quality
Experience working with the StepWise Suite
Experience working as an underwriter or actuary in commercial healthcare
Experience with healthcare rating systems development
Proven solid leadership skills and initiative to lead a technical workstream independently
*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 this role is $104,700 to $190,400 annually. 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.
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.
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.