United Healthcare Group / Actuarial Consultant

UnitedHealth Group - Actuarial Consulting

Please click link to Apply: https://www.enticelabs.com/EL/eng.me?...

Job Title – Senior Consultant, Consultant, Actuarial Consultant, Actuarial Analyst

Location (s) –

Eden Prairie (Minneapolis), MN
Columbus, MD
Hartford, CT
Cypress, CA (Orange County)
Denver, CO
Chicago, IL
Atlanta, GA
New York City, NY
San Francisco, CA

Job Description –

As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group. The Consultant role in our Healthcare Financial Advisory Practice will perform mathematical and statistical analyses and actuarial modeling in support of our clients' needs. You will gain experience through data analysis, modeling, and communication with clients which will help develop your problem-solving skills. You will also gain knowledge of related software & tools, data analyses, communication skills, and an understanding of the big picture on projects.

Position Responsibilities

• Perform statistical analyses and actuarial modeling for HMO's and insurance companies for Medicare Advantage, Prescription Drug Plans, Medicaid, group commercial and individual commercial products
• Analyze healthcare trend drivers
• Analyze and create physician reimbursement contracts and reviewing at-risk sharing arrangements
• Review medical expense cost projections for our customers
• Develop unpaid claims reserve estimates for HMOs and insurance companies
• Work on regulatory compliance documentation for small group health and Medicare business
• Develop program rates, prepare cost estimates, and conduct and evaluate studies on pricing, utilization and healthcare costs.

Requirements (Skills, Technologies, etc) –

• Bachelor's degree in Actuarial Science, Math, Economics, or related degree.
• Strong verbal and written communication skills are required.
• 4+ years of healthcare actuarial experience (or a combination of healthcare and other actuarial) required.
• ASA or FSA designation (or must have passed a minimum of two actuary exams)

• Demonstrated progression of success in a health or managed care industry.
• Must demonstrate extensive experience in healthcare data analysis and developing Actuarial pricing methodologies and assumptions.
• Medicare (especially Part D bid process) experience preferred.
• Prefer working knowledge of Reden & Anders tools, databases, and reference library. Tool examples: fee analyzer, commercial cap model, ASC OP surgery pricing model, etc.

Experience Range (yrs)? 4+ years of experience is required

Please click link to Apply: https://www.enticelabs.com/EL/eng.me?...