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Actuarial Analytics Manager (Healthcare) - Ontario, CA

Company: UnitedHealth Group
Location: Ontario
Posted on: March 17, 2020

Job Description:

Position Description If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier lives while doing your life's best work.(sm) Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. Here you'll develop and execute the strategies that impact our ability to help people live healthier lives. As a Leader of Healthcare Actuarial Analytics, you will guide our team to identify potential areas for medical cost improvements and alternative pricing strategies. You will perform critical research and investigation of key business problems. Your analyses will create viable, real-world solutions within the complex health care landscape. This role will have regular interaction with executives and various business units. This role involves high visibility with business leaders and therefore requires strong interpersonal and communication skills. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work. Primary Responsibilities: Develop and improve quantitative data analytics and set performance targets Interpret and analyze clinical data from various sources and recommend best approaches Lead complex projects to provide updates and to draw conclusions Develop revenue forecasts, including payer contracting and risk adjustment methodology Develop medical expense forecasts, including capitated, fee for service and IBNR methodology Explain monthly revenue and IBNR fluctuations Update and modify complex financial models and analytical tools to support payer contracting negotiations Provide claims, premium, capitation and membership data in support of Underwriting, Actuarial and utilization analysis Handle ad-hoc reporting and analysis and investigate issues, providing explanations and interpretations Possible staff to supervise 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 3-5+ years of experience in Healthcare Actuarial work in general or in healthcare Pricing Analysis Experience directing cross-functional teams Minimum of an advanced level of proficiency working with MS Excel including advanced formulas, pivot tables, macros, lists, statistical functions, etc. Preferred Qualifications: Master's Degree Math, Actuarial, Statistical Degree CMS bidding experience Advanced level SQL proficiency preferred Managing direct staff preferred Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment Job Keywords: Healthcare Actuarial, Quantitative analysis, data analytics, financial statements, forecasting, budgeting, financial analysis, fee for service, healthcare, managed care, analytics, ad-hoc report, SQL, Excel, Ontario, CA, California PandoLogic. Category: , Keywords: Analytics Manager

Keywords: UnitedHealth Group, Ontario , Actuarial Analytics Manager (Healthcare) - Ontario, CA, Other , Ontario, California

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