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Government Programs Actuary Director - Remote

Company: UnitedHealth Group
Location: Eden Prairie
Posted on: January 18, 2023

Job Description:

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) The Government Programs Actuary Director requires an experienced actuarial viewpoint in a wide variety of actuarial subjects and within the company, industry, and regulatory environment. The role works collaboratively with cross functional teams and matrix partners. It performs high level actuarial analyses for Medicare Part D business, including, but not limited to: CMS programs, drug expense analyses and projections, financial forecasts, Medicare Part D bid assumption development, actuarial modeling/analysis, pharmacy network management, manufacturer rebate improvement and ad hoc actuarial analyses/advice as needed. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Utilizes independent judgment and discretion, performs financial projections and actuarial analysis for complex assignments including:
    • Trend Analysis (Internal & Industry comparisons)
    • Network analysis, management, and governance
    • Formulary modeling
    • Impact of Regulatory Changes
    • Bid pricing support
    • Participate in internal strategic discussions to help develop strategic plan for bids
    • Assists in the analysis of Part D bid strategy proposals including:
      • Extensive experience and understanding of Part-D bid mechanics and regulations
      • Strategic thought process to optimize Part-D pricing for PDP, MAPD, and DSNP programs
      • Ability to assimilate macro- and micro-trends to develop market competitive products or strategies
      • Cross-functional collaboration on strategy development is critical for the success of the role
      • Help identify competitive information, develop benchmarks and pull together competitive intelligence for internal discussion and insight 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, Economics, Mathematics or other related discipline
        • 3+ years of actuarial experience
        • Experience in modeling, forecasting, and predictive analytics
        • Experience presenting to internal leadership and external clients
        • Extensive Medicare knowledge, with specific acumen in Part D, including:
          • Bid preparation and desk review
          • CMS compliance
          • CMS audit requirements
          • Associate (ASA) designation
          • Ability to travel 10% of the time Preferred Qualifications:
            • 1+ years of people management experience
            • Financial & trend analysis and reporting experience
            • PBM and/or health plan experience
            • Formulary Modeling Experience
            • Network Modeling Experience
            • Rebate Modeling Experience
            • Ability to utilize SQL and/or SAS for data mining
            • Integration of competitive intelligence for predictive modeling purposes Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm) California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $101,200 to $184,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Eden Prairie , Government Programs Actuary Director - Remote, Accounting, Auditing , Eden Prairie, Minnesota

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