Optum Logo

Optum

Senior Actuarial Analyst, ALDP - Remote - Minnetonka, MN Hybrid preferred

Posted 12 Days Ago
Be an Early Applicant
Remote or Hybrid
Hiring Remotely in Minnetonka, MN
73K-130K Annually
Senior level
Remote or Hybrid
Hiring Remotely in Minnetonka, MN
73K-130K Annually
Senior level
Lead Medicaid pricing analysis and actuarial modeling to optimize revenue for Community & State business. Analyze state rate files, claims, forecasts, and trends, support product development, competitive analysis, and process automation while working cross-functionally with internal and external actuarial stakeholders.
The summary above was generated by AI
Requisition Number: 2360244
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
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.
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.
#UHCPJ
#BI-Hybrid

Similar Jobs at Optum

14 Hours Ago
In-Office or Remote
92K-164K Annually
Senior level
92K-164K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Serve as Epic Healthy Planet subject matter expert to design, build, test, and implement Epic solutions. Lead upgrades and validation sessions, translate business requirements to functional specs, maintain system documentation, monitor production and participate in on-call support, execute testing, collaborate with stakeholders and training teams, troubleshoot issues, and ensure change control and compliance across Epic implementations.
Top Skills: Care EverywhereEpic AmbulatoryEpic Community ConnectEpic Healthy PlanetEpic RefuelEpiccare LinkExcelMicrosoft PowerpointMicrosoft SharepointMicrosoft VisioMychart
14 Hours Ago
In-Office or Remote
92K-164K Annually
Senior level
92K-164K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Lead design and delivery of AI-driven claims capabilities: identify/prioritize use cases, translate claims policies into requirements and AI prompts, manage product lifecycle, define success metrics, collaborate with cross-functional teams, support testing and deployment, and drive adoption and consistency across agentic AI products.
Top Skills: Aha!Claims Adjudication SystemsDecision Automation PlatformsFigmaGitHealthcare Pricing ToolsJIRAMiroMlopsPayment Integrity PlatformsPrompt EngineeringRule Engines
14 Hours Ago
In-Office or Remote
146K-250K Annually
Senior level
146K-250K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Lead design, development, and enterprise deployment of scalable production ML/AI solutions for pharmacy services. Own MLOps pipelines, model training, validation, containerized deployment, monitoring, and architecture. Collaborate with data scientists, engineers, and business leaders, evaluate emerging AI/LLM technologies, and provide technical leadership and mentorship.
Top Skills: AWSAzureCi/CdContainerizationDockerGCPGenerative AiKubernetesLlmsMlopsNoSQLPythonPyTorchRagScikit-LearnSparkSQLTensorFlowTerraform

What you need to know about the Chicago Tech Scene

With vibrant neighborhoods, great food and more affordable housing than either coast, Chicago might be the most liveable major tech hub. It is the birthplace of modern commodities and futures trading, a national hub for logistics and commerce, and home to the American Medical Association and the American Bar Association. This diverse blend of industry influences has helped Chicago emerge as a major player in verticals like fintech, biotechnology, legal tech, e-commerce and logistics technology. It’s also a major hiring center for tech companies on both coasts.

Key Facts About Chicago Tech

  • Number of Tech Workers: 245,800; 5.2% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: McDonald’s, John Deere, Boeing, Morningstar
  • Key Industries: Artificial intelligence, biotechnology, fintech, software, logistics technology
  • Funding Landscape: $2.5 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Pritzker Group Venture Capital, Arch Venture Partners, MATH Venture Partners, Jump Capital, Hyde Park Venture Partners
  • Research Centers and Universities: Northwestern University, University of Chicago, University of Illinois Urbana-Champaign, Illinois Institute of Technology, Argonne National Laboratory, Fermi National Accelerator Laboratory

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account