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Job Details
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Director of Actuarial Services within UHC Medicare & Retirement will perform critical research and investigation of key business problems through quantitative analysis of Medicare Advantage data. The Senior Director will proactively identify, communicate, and lead organizational dialogue on opportunities and risks throughout the organization, primarily on topics such as national medical costs, national medical trends, and utilization management programs. As a subject matter expert, the Senior Director will interpret and analyze data from various sources (e.g. claims, authorizations, member data) and recommend best approaches to transform the healthcare industry. The successful candidate will be a key player in setting business strategy using data and analytics to improve member outcomes while delivering savings to the healthcare system. The environment is challenging and fast-paced, requiring flexibility and curiosity. Team members are expected to have a high level of energy, a passion for driving demonstrable value at speed, and making a positive impact both within and beyond United Healthcare. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
- Lead an analytics team focused on supporting the portfolio of Utilization Management (UM) savings programs for the M&R business. Includes communicating findings and potential opportunities to senior leadership
- Provide management with unbiased advice regarding medical cost strategy, including review of affordability programs strategy, operational outcomes, and financial metrics
- Support medical cost trend analytics, with the goal of identifying and explaining both emerging and persistent cost trends, and further understanding how current affordability strategies are affecting those trends
- Work closely with Finance, Actuarial, and Affordability partners to develop financial projections and forecasts. Also, build comparisons of actual to expected results and develop explanations of variances
- Mentor and develop an elite team of managers and analysts; help them create innovative solutions to complex problems while managing multiple project timelines
- Build strong relationships within the organization including Finance, Network, Product, Actuarial, Clinical, and Operations
- Work with other healthcare economics teams across the enterprise to continually improve and refine processes and approaches
- ASA or FSA designation
- 8+ years of experience in data analytics, specifically interpreting and communicating results to a broad range of customers and business leaders
- 4+ years of leadership experience with demonstrated prudent decision-making skills and notable initiative and resourcefulness
- 4+ years of experience in a management role with demonstrated success in developing a team of analytical staff
- Experience setting vision and strategy while managing multiple complex projects from concept to completion
- Proven interpersonal skills and ability to collaborate with internal customers across multiple departments
- Ability to approach issues from broad strategic perspective while also focusing on the details
- Excellent written and verbal communication skills
- Extensive and expert knowledge of concepts and methodologies in health care environment
- Advanced proficiency with MS Excel formulas, calculations, charts, graphs
- Medicare experience
About the Company
UnitedHealth Group
Minnetonka, MN, United States
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are... Read more