Job Details

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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 peoplefor 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.

This 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.

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (eligibility requirements apply).

Required Qualifications

• Bachelor's Degree or equivalent years of experience in an actuarial or analytic role
• 3+ months of actuarial experience in an internship or academic actuarial projects
• Must be on the Actuarial exam track, having passed 1 or more Actuarial exams
• 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

Equal Employment Opportunity: UnitedHealth Group is an Equal Employment Opportunity employer. We prohibit discrimination and harassment of any kind. All decisions on hiring, promotions, compensation and benefits are made in accordance with applicable laws and regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.