Develops Medicaid risk adjustment analytics, dashboards, and reporting; analyzes risk scores, morbidity trends, and revenue impacts; identifies data issues; performs root-cause analysis; and presents recommendations to leadership. Partners with actuarial, finance, operations, and technology teams, leads analytical projects, and supports process improvements. Requires actuarial exam progress, healthcare analytics experience, SQL and Excel skills, and large healthcare dataset experience.
Requisition Number: 2388454
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
At UnitedHealthcare, actuarial expertise drives decisions that help shape the future of health care. As a Sr. Actuarial Analyst on the UHC Community and State Finance team, you'll apply advanced analytics to Medicaid risk adjustment, uncover insights behind risk score performance and morbidity trends, and translate complex data into meaningful recommendations for leaders across the business. This role is an opportunity to grow your actuarial career while partnering with finance, operations, technology, and actuarial teams to solve challenging problems, improve processes, and support strategies that make health care work better for everyone. This role is part of our Actuarial Leadership Development Program.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. The preferred location for this office is the Minnetonka, MN office.
Primary Responsibilities:
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
At UnitedHealthcare, actuarial expertise drives decisions that help shape the future of health care. As a Sr. Actuarial Analyst on the UHC Community and State Finance team, you'll apply advanced analytics to Medicaid risk adjustment, uncover insights behind risk score performance and morbidity trends, and translate complex data into meaningful recommendations for leaders across the business. This role is an opportunity to grow your actuarial career while partnering with finance, operations, technology, and actuarial teams to solve challenging problems, improve processes, and support strategies that make health care work better for everyone. This role is part of our Actuarial Leadership Development Program.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. The preferred location for this office is the Minnetonka, MN office.
Primary Responsibilities:
- Develop and maintain Medicaid risk adjustment analytics, reporting, and dashboards
- Analyze risk score performance, morbidity trends, and revenue impacts across markets
- Partner with actuarial, finance, operations, and technology teams to support business decisions
- Identify data issues, perform root-cause analyses, and recommend solutions
- Present insights and recommendations to leadership and business partners
- Lead analytical projects and support process improvement initiatives
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, Statistics, Mathematics, Economics, Finance, or related field
- Must be on the Actuarial exam track, having passed 2 or more Actuarial exams
- 2+ years of healthcare analytics, actuarial, healthcare economics, or related experience
- Intermediate SQL and Excel skills
- Experience working with large healthcare datasets (claims, encounters, eligibility, membership, etc.)
- Proven solid analytical, problem-solving, and communication skills
- Demonstrated ability to manage multiple priorities and work independently
Preferred Qualifications:
- Medicaid managed care experience
- Risk adjustment experience (CDPS, HCC, or similar models)
- Power BI, Tableau, or other data visualization experience
- Experience with provider coding, encounter data, or supplemental data programs
- Snowflake or R programming experience
- Experience presenting to senior leaders and cross-functional stakeholders
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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