Director Actuarial Services - Remote - Fort Washington, PA Preferred

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. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Director of Actuarial within UHC Medicare & Retirement will lead an actuarial team responsible for claim forecasting, Identifying and quantifying trends in medical cost drivers for Medicare Supplement products. The director will perform critical data analysis, SAS/SQL/Excel modeling, and actuarial analytics while developing and strengthening processes and models. The director will proactively identify, communicate, and lead organizational dialogue on Medicare Supplement trend development and cost drivers. As a subject matter expert, the director will work directly with state regulators to file and obtain state rate filing approvals. The successful candidate will be a key player in setting business strategy using data and analytics to optimize sales, retention and profitability goals.

The environment is challenging and fast-paced, requiring flexibility and curiosity. Team members are expected to have a high level of energy, a passion for driving demonstrable value at speed, and making a positive impact both within and beyond United Healthcare.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. The preferred location for this position is the Fort Washington, PA office.

Primary Responsibilities:

• Lead Medicare Supplement claim forecasting efforts, including maintaining and enhancing claim forecasting models and methodologies, and performing analyses to identify and quantify trends in medical cost drivers and potential areas of medical cost improvements. Includes communicating results and recommendations to senior leadership
• Lead a team focused on Medicare Supplement claim forecasting effort in support of financial forecasting and pricing assumptions
  
  
  
  
  • Maintain and update actuarial forecast models and proactively identify solutions
  • Maintain and streamline monthly/quarterly and ad hoc exhibits based on detailed data sets. Review results from forecasting models and test sensitivity
  • Identify inefficiencies in process and models and proactively take steps to implement changes
  
  
  
  
• Provide management with recommendations and advice on evaluation and projection of utilization and health care costs, including review of Medicare Payment rates, utilization trends and seasonality studies and financial impact
  
  
  
  
  • Monitor and quantify the impact on claim trends from changes in Medicare payment rates, environmental factors, and business changes. Anticipate and project future trend drivers
  • Identify and quantify utilization trends in medical cost drivers and potential areas of medical cost improvement, including but not limited to cost drivers by benefit categories and by state/area
  • Review and enhance medical cost seasonality studies to provide guidance to evaluate monthly health care costs projections
  
  
  
  
• Work closely with Finance, and Actuarial partners to develop claim projections and forecasts. Also, build comparisons of actual to expected claims results and develop explanations of drivers and variances
• Participate in the end-to-end rate filing process, including preparing filings, ensuring compliance with state regulations, and working directly with state regulators in responding to questions and making recommendations to influence filing outcomes
• Lead and develop an elite team of analysts; help them create innovative solutions to complex problems while managing multiple project timelines

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, preferably in Finance, Math, Statistics, Actuarial Science, Economics, or a related degree
• ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation
• 8+ years of actuarial experience
• 4+ years of experience in a management role with demonstrated success in developing a team of analytical staff
• Experience with healthcare pricing or forecasting
• Hands-on experience in building actuarial models in Excel and Access, Power Pivot
• Advanced or higher level of proficiency in MS Excel
• Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system
• Proven solid interpersonal skills and ability to collaborate with internal customers across multiple departments
• Proven ability to approach issues from broad strategic perspective while also focusing on the details
• Proven excellent written and verbal communication skills

Preferred Qualification:

• Medicare Supplement experience

*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 $132,200 to $226,600 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.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.