Associate Director, Actuarial Services - Remote

About the role

The Associate Director of Actuarial Services at Optum will oversee, build, and maintain actuarial models to support financial analysis for our Value-Based Care (VBC) business. You will also contribute to thought leadership, provide actuarial recommendations, and assist Finance leadership with Medicare Advantage, Commercial, and Medicaid risk contracting.

Responsibilities

• Oversee, build and maintain actuarial models used for forecasting, negotiations, and tracking performance risks associated with value-based arrangements
• Drive strategic insight into profitability by leading analysis and communication of key drivers, distinguishing impacts from business and regulatory changes versus revenue and medical trends
• Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders
• Serve as a key resource for risk-taking provider organizations and physician groups
• Communicate results and provide recommendations to stakeholders on business performance and strategic actions
• Mentor, direct and review work of a team of 1-3 analysts

Requirements

• Bachelor's degree in Actuarial Science, Mathematics, or related field
• 2+ years of experience analyzing and transforming large healthcare claims datasets
• 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling
• 3+ years of experience in Medicare Advantage, bid/risk score development, value-based care (VBC) modeling, or government programs in general
• Proficiency in Excel and SQL
• Excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion

Preferred Qualifications

• ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation
• Experience in mentoring and/or leading junior analysts
• Experience presenting business insights and summaries to inform decisions to stakeholders
• Demonstrated ability to be self-motivated, inquisitive, and quick to learn new business concepts, with a proactive approach to taking initiative