UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.
Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.
Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Actuarial Consultant / Senior Actuarial Consultant ***Multiple Locations-306735
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
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.
Key Skills/Experiences - Consultant
- Must have passed a minimum of two or more actuary exams (ASA or FSA designation preferred).
- 5+ years of healthcare actuarial experience (or a combination of healthcare and other actuarial) required.
- Medicare (especially Part D bid process) preferred.
- Understand use of work product to overall project. Work product must be accurate and completed on time.
- Ability to communicate with clients via the phone.
- Working knowledge of computer software including, Excel, Access, Microsoft Word and others as needed.
- Current ability (or projected to develop within six months) to manage projects for clients.
- Handle project from data request through first draft of report
- Can effectively deal with clients.
Qualifications
- Bachelor's degree in Actuarial Science, Math, Economics, or related degree.
- Strong verbal and written communication skills are required.
- 5+ years of healthcare actuarial experience (or a combination of healthcare and other actuarial) required.
- ASA or FSA designation
- 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.
- Demonstrated ability to perform data analysis, actuarial modeling and creating detailed and thorough analysis reports for the client
- This consulting role will combine client management with Actuarial projects
- Ability to discuss with clients their needs and take an active role in the formation of projects
- Ability to manage projects and work effectively with a client
- Manage various projects for clients, from data request through reporting
- Handle billing, obtain adequate peer review of project work
- Sell or up-sell new business and participate in proposal writing
- Able to identify opportunities for Ingenix products and services
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Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. |
