Senior Director of Provider Actuarial Services - Remote
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. Optum Advisory Services is seeking a Senior Director of Provider Actuarial Services to lead strategic actuarial initiatives for healthcare providers and health systems. This role blends actuarial leadership with advanced analytics, data science, and AI to support value based care and risk based arrangements. 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. 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.
Requirements
- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, or related field
- ASA or FSA designation
- 10+ years of healthcare actuarial experience
- 5+ years of people leadership and project management experience
- Hands-on experience with data science and AI applications (e.g., ML, predictive modeling, NLP)
- Deep expertise in provider contracting and risk arrangements
Nice To Haves
- Healthcare consulting experience, especially in payer-provider partnerships
- Knowledge of Government Programs, Medicare Advantage, CMS ACO/APMs, and VBC modeling
- Deep understanding of: Healthcare economics Provider reimbursement models Regulatory environment
- Familiarity with big data technologies and advanced visualization tools
- Demonstrated executive level communication and presentation skills
- Demonstrated solid business and financial acumen
Responsibilities
- Lead and develop a team of actuaries and analytics professionals
- Design and implement provider focused actuarial models and advisory solutions
- Develop strategies for risk adjustment, capitation, and value based contracting
- Oversee actuarial forecasting and performance tracking for Medicare ACO programs (ACO REACH, MSSP)
- Partner with senior executives and clients to drive data informed decisions
- Provide thought leadership on Value Based Care (VBC) programs
- Integrate data science and AI into actuarial processes
- Apply machine learning and predictive modeling to risk and trend analysis
- Lead development of advanced forecasting models using large healthcare datasets
- Champion innovation in actuarial methodologies and tools
- Act as a trusted advisor to risk taking provider organizations
- Analyze claims and revenue data from multiple sources
- Translate complex actuarial findings for executive level audiences
- Present insights and recommendations clearly and effectively
- Ensure compliance with regulatory and actuarial standards
- Manage budgets, timelines, and resources across multiple initiatives
Benefits
- a 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
Director
