Senior Actuarial Director
About The Position
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. As the Sr. Director of Actuarial Services on the UHG Trend Analytics team supporting Medicare, you'll play a pivotal role in delivering strategic analytics that shape how we understand, manage, and predict health care expenses across a diverse set of United Heathcare’s Medicare populations. You will lead a high-performing team responsible for producing enterprise critical actuarial analytics focused on forecasting and explaining medical expense across UHC’s Medicare Advantage business. You will oversee the development of forward looking medical cost forecasts, trend analytics, and executive reporting used by senior leaders to manage financial performance, understand risk, and guide strategic actions. This is a high visibility leadership role requiring solid actuarial judgment, deep understanding of provider risk arrangements, and the ability to translate complex analyses into clear, actionable insights for executive audiences. The Sr. Director in this role will work with detailed claims, clinical, and financial data to deliver accurate, timely, and decision ready medical expense forecasts for UHC’s Medicare Advantage populations.
Requirements
- Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field
- Credentialed Actuary (FSA or ASA)
- 10+ years of healthcare actuarial experience with increasing leadership responsibility
- Significant experience in medical expense forecasting, trend development, and risk management within payer, provider, or value based care environments
- Demonstrated ability to develop actuarial models and analytic solutions using large, complex healthcare datasets
- Proven track record delivering accurate, timely, executive level medical cost forecasts in dynamic environments
- Proven solid executive communication skills with ability to clearly explain assumptions, risk, and uncertainty
- Experience working in Medicare Advantage
- Advanced proficiency in Excel and experience working with analytic tools such as SQL, SAS, R, Python, VBA, Power BI, or similar platforms
Nice To Haves
- Leadership experience with large payers or provider organizations
- Experience forecasting medical expense across Medicare
- Experience leading teams in matrixed organizations
- Consulting background supporting payer or provider financial strategy
- Demonstrated success influencing senior leadership through data driven insights
- Reside in Eden Prairie, MN
Responsibilities
- Lead enterprise medical expense forecasting for the Medicare Advantage business
- Own actuarial methodologies and assumptions supporting medical cost projections, trend development, and risk assessment
- Oversee executive level medical expense reporting and forecast commentary, ensuring accuracy, transparency, and consistency across segments and markets
- Develop and evolve forecasting frameworks from inception through automation, including data sourcing, model design, validation, and governance
- Partner closely with Finance, Clinical, Operations, and Market leaders to align actuarial views with business realities and operational insights
- Serve as a trusted actuarial advisor to senior leadership-explaining forecast changes, emerging risks, and key medical cost drivers
- Lead scenario analysis and risk assessments to support budgeting, outlook, and strategic planning processes
- Translate complex actuarial analyses into concise executive messaging-clearly articulating implications, risks, and recommended actions
- Establish and maintain solid quality assurance, controls, and documentation across all forecasting and reporting outputs
- Foster a culture of continuous improvement, innovation, and collaboration within the actuarial team
- Mentor and develop actuarial talent; build high performing teams capable of operating in fast paced, ambiguous environments
Benefits
- Relocation assistance available
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Senior
