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Sr Actuarial Analyst ALDP - Remote - Remote Eligible

Analyze state rate files and claims data to optimize Medicaid reimbursement strategies
Upper Dublin Township, Pennsylvania, United States
Senior
$71,200 – 127,200 USD / year
5 days ago
UnitedHealth Group

UnitedHealth Group

A diversified health and well-being company offering a broad spectrum of products and services through two distinct platforms: UnitedHealthcare and Optum.

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Caring. Connecting. Growing Together.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable.

This Sr 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.

Primary Responsibilities:

  • Analyze and interpret quantitative data to create and review both standard and ad hoc exhibits based on detailed data sets
  • Perform data mining and analysis that impacts foundational pricing and risk assumptions
  • Generate experience tracking reports at various levels of detail, including rate-cell/regional reporting consistent with revenue reimbursement for all Community & State products
  • Translate numerical analyses into exhibits that effectively convey the results
  • Assist in communicating results to internal and external stakeholders

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, math, finance, data science, economics or other quantitative field
  • 2+ years of actuarial experience, including experience collecting, analyzing and summarizing qualitative/quantitative data
  • 2+ actuarial exams passed
  • Expertise working with formulas, calculations, charts, and graphs in MS Excel
  • Expertise working with large sets of data, and proficiency with SQL
  • Proven clear communication skills, particularly in conveying complex financial and actuarial topics to non-expert audiences
  • Demonstrated critical thinking skills that allow you to push through the data and find effective solutions

Preferred Qualifications:

  • Experience working with Medicaid claims data and rates
  • Proven basic or higher level of proficiency with MS PowerPoint
  • Comfortable using actuarial judgment to navigate situations with limited or uncertain information
  • Proven excellent verbal and written communication 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). The salary for this role will range from $71,200 to $127,200 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.

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Sr Actuarial Analyst ALDP - Remote - Remote Eligible
Upper Dublin Township, Pennsylvania, United States
$71,200 – 127,200 USD / year
Remote
About UnitedHealth Group
A diversified health and well-being company offering a broad spectrum of products and services through two distinct platforms: UnitedHealthcare and Optum.