8 days old

Actuarial Analytics Manager (Healthcare) - Ontario, CA

Ontario, CA 91764
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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.

Posted: 2020-03-20 Expires: 2020-04-20

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Actuarial Analytics Manager (Healthcare) - Ontario, CA

UnitedHealth Group
Ontario, CA 91764

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