Senior Director of Group Part D Actuarial Services
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
What makes your Actuarial career greater with UnitedHealth Group? Advancement, access to data, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged to do your best.
The Senior Director of Group Part D Actuarial Services is responsible for providing actuarial direction and strategy to the actuarial pricing team that supports managed care rate development for a variety of programs. The Senior Director will lead a cross functional team for the Medicare and Retirement team. Work with custom Employer group cases, potentially including client presentations and sales team development. Partner with the Medical Actuarial team and Underwriting team. Leverage Medicare knowledge to create innovative market leading products for growing Medicare Advantage Part D coverage and the Part D stand alone products sold to Employer, Union and Public groups. Responsibilities include:
- Managing and coaching teams of actuaries
- Leading actuarial analysis and services in support of medical analysis, trend projections, and rate negotiations.
- Overseeing and analyzing financial and claims data to evaluate utilization and unit price trends.
- Designing and overseeing ad hoc health cost analyses.
- Pricing products consistent with financial and business objectives.
- Balancing growth and profitability goals to maximum results.
- Assisting with and participating in negotiations and presentations where appropriate.
- Developing the organization's premium rate structure through the forecasting of financial/statistical data in a manner which is actuarially sound and competitive in the marketplace including cash flow analysis and financial projections.
- Bachelors degree in Actuarial Science, Math, Economics or related degree
- ASA or FSA designation is required
- 5-15+ years of experience in a health or managed care setting, specifically with developing pricing methodologies, program rates, cost estimates, valuation and reserves
- 3+ years of experience managing a staff and leading a team in complex actuarial projects that have a large financial and/or risk impact preferred
- Strong verbal and written skills are required
- Strong Part D knowledge is preferred
- General Medicare knowledge is preferred
UnitedHealthcare, part of the UnitedHealth Group family of companies, is comprised of three specialized businesses dedicated to meeting the health care benefits needs of individuals and groups; all part of something greater, but each with a specialized focus:
UnitedHealthcare Employer Individual works with individuals, small businesses and large multi-site employers to provide innovative, affordable benefits services.
UnitedHealthcare Medicare Retirement is focused on serving Americans over the age of 50. It is the largest business dedicated to meeting the growing health and well-being needs of aging individuals in the nation, serving one in five Medicare beneficiaries through a comprehensive and diversified array of products and services through four industry-leading businesses.
UnitedHealthcare Community State provides high-quality, personalized, public-sector health care programs that help local government agencies improve health outcomes for millions of children and low-income and disabled individuals at an affordable cost.
Together, we're removing the barriers that keep people from receiving the kind of quality health care that makes a difference. We focus on Integrity, Compassion, Relationships, Innovation and Performance as we empower people to achieve better health and well-being.
Come grow and thrive in our culture of innovation and ideas. Because there is no opportunity greater than the quest to help people live healthier lives.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testi
