Senior Actuarial Consultant - Remote

Caring. Connecting. Growing Together.

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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.

In joining the Provider Actuarial Services you'll be part of a team that is a leader in health care cost analytics, with a proven track record of supporting hospitals and health systems across the country though a diverse staff of Actuaries, Data/Research Analysts, and Business/Technology Consultants. Our consulting team has continued to expand capabilities and our consulting presence by identifying, developing, and executing new and exciting business opportunities within the provider space.

As a member of our high-performing team, you will have the opportunity to support a wide variety of provider organizations as they seek to optimize and quantify success in providing healthcare services across many organizations and lines of business. We will use your actuarial expertise to perform financial analysis and build models that guide health systems to making business decisions to accomplish the Triple Aim of reducing healthcare costs while providing a better experience leading to better health. We offer a competitive study program with paid time off to study, expense reimbursement for study materials and pay raises for passing exams.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Bring traditional actuarial skills to provider organizations as the health care market continues to evolve, including:
• Assist in developing innovative strategies, value-based contracts, and innovative risk-based arrangements
• Develop, conduct, and evaluate studies on pricing, utilization, and health care costs for our broad range of provider clients
• Prepare, forecast, and analyze trends
• Interpret, compile, and disseminate results of modeling analyses with appropriate conclusions and recommendations to assist in client decision making and strategic direction
• Support meetings across various clients, clinical staff, and actuarial teams to validate and develop modeling assumptions
• Potential areas of focus may include but are not limited to: Healthcare Economics, benchmarking analysis, value-based contract feasibility analysis, outcomes analysis, and population health analytics
• Develop professionally within an actuarial team, while collaborating with other clinicians, business analysts, and strategy consultants
• Mentor junior analysts and review client deliverables

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:

• Passed 3+ of actuarial exams
• 5+ years of actuarial experience in the healthcare field
• 2+ years of experience in using SAS/SQL
• 2+ years of experience working in claims data
• Experience performing and reviewing actuarial analysis for value-based care, provider contracting, and/or risk adjustment
• Demonstrated desire to work in a consulting actuarial role

Preferred Qualifications:

• ASA or FSA credential
• Experience in Tableau or PowerBI
• Experience validating, manipulating, and summarizing claims data
• Experience and/or exposure to predictive modeling, clustering, etc.

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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.