Actuarial Analyst ALDP – Remote – Minnetonka, MN Hybrid preferred

Número de la requisición: 2294370
Categoría de la vacante: Actuarial
Localização da vaga: Minnetonka, MN
(Remote considered)

Doctor consulting nurse at nurse station.

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 

This Actuarial Analyst will be part of a team that oversees the end-to-end revenue audit processes, including premium and supplemental payment collection, working cross-functionally with IT, membership and many other teams across the organization to ensure revenue accuracy for our Community and State business.  This role will be tasked with analyzing claims, eligibility and premium payment files to identify and implement process efficiencies, utilizing a data-driven analytical approach.  This role will require an audit-style evaluation approach of processes to support revenue optimization initiatives.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Evaluate and analyze all revenue streams and processes for our Medicaid and applicable Medicare markets to ensure revenue accuracy within Community & State
  • Perform analytics to identify opportunities for revenue accuracy, including interpret and analyze claims, eligibility and premium payment data
  • Identify opportunities for process improvements and gap closure and support implementing those process improvements
  • Support projects to completion by contributing to database creation, statistical modeling and financial reports
  • Update automated processes across teams supporting revenue accuracy
  • Update reporting tools to reflect the end-to-end revenue reconciliation process
  • Update management report(s) on monthly results and support monthly presentations with Health Plan leadership

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 or equivalent years of experience in an actuarial or analytic role
  • 3+ months of actuarial experience in an internship or academic actuarial projects
  • Must be on the Actuarial exam track, having passed 1 or more Actuarial exams
  • Advanced or higher level of proficiency with Excel

Preferred Qualifications:

  • Experience working with medical claims and/or revenue systems
  • Basic or higher level of proficiency with SAS, SQL and/or Snowflake
  • Proven excellent verbal and written communication skills
  • Proven analytical and critical thinking skills

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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 make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

UnitedHealth Group is 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 is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Información adicional sobre la vacante

Número de la requisición 2294370

Segmento de negocio UnitedHealthcare

Nivel del cargo Individual Contributor

Disponibilidad para viajar No

País US

Estado de horas extras Exempt

Vacante de teletrabajo Yes