Leads pharmacy trend assumption models and analytics supporting pricing, underwriting, and business decisions. Partners with PBM stakeholders, performs impact analyses, communicates complex findings to executives, monitors industry developments, and mentors actuarial professionals. The role requires actuarial credentials, healthcare experience, advanced modeling expertise, and proficiency in Excel and SQL or Python/R.
Requisition Number: 2386001
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Join a team shaping the future of pharmacy trend strategy and actuarial analytics. This role leads the development and enhancement of complex pharmacy trend assumptions and models that drive pricing, underwriting, and business decision-making. Partnering with stakeholders across the PBM organization, you will deliver actionable insights, influence executive strategy, and mentor a high-performing actuarial team in a rapidly evolving healthcare environment.
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.
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 $112,700 - $193,200 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.
Join a team shaping the future of pharmacy trend strategy and actuarial analytics. This role leads the development and enhancement of complex pharmacy trend assumptions and models that drive pricing, underwriting, and business decision-making. Partnering with stakeholders across the PBM organization, you will deliver actionable insights, influence executive strategy, and mentor a high-performing actuarial team in a rapidly evolving healthcare environment.
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.
Primary Responsibilities:
- Review, update, identify & implement enhancements and develop documentation for Pharmacy Trend assumption models and processes
- Build solid relationships and trust with key SMEs and stakeholders across the Pharmacy Benefit Manager (PBM)business to collaborate on Trend assumption updates (Finance, Underwriting, Industry Relations, Clinical, Pharmacy Network, etc.)
- Perform impact analysis on proposed updated assumptions for Pricing and Underwriting purposes
- Clearly communicate preliminary and final analysis with key stakeholders and Executives
- Keep abreast of market and industry developments regarding pharmacy trend assumptions, leveraging industry leading tools
- Translate highly complex concepts in ways that can be understood by a variety of audiences including senior leaders
- Mentor and develop your elite team of actuaries and help them create unique solutions to complex problems
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, Mathematics, or related field
- Actuarial credentials (ASA or FSA)
- 5+ years of work experience in a US Health care setting (e.g., Pharmacy Benefit Manager, Health Payer, Health Provider, etc.)
- 2+ years of work experience performing trend analytics and building technically complex actuarial models with guaranteed structures
- Proficient in Excel
- Proficient in SQL (Structured Query Language) and/or programming languages such as Python or R
- Demonstrated excellent communication skills, capable of simplifying complex concepts for varied audiences
Preferred Qualifications:
- Experience working within a PBM
- Experience setting assumptions regarding PBM rebates
- Experience with pricing & underwriting models
- Experience with AI/Data Science
*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 $112,700 - $193,200 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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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