Optum Logo

Optum

Actuarial Consultant - Remote

Posted 54 Minutes Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in Minnetonka, MN
92K-164K Annually
Mid level
In-Office or Remote
Hiring Remotely in Minnetonka, MN
92K-164K Annually
Mid level
Analyze pharmaceutical rebate program performance, develop actuarial forecasting models, evaluate claims and financial data, assess trends and variances, and translate clinical initiatives into measurable financial impact. The role prepares reporting and recommendations, challenges modeling assumptions, supports affordability strategy, and communicates insights to finance, clinical, pharmacy, and operational stakeholders.
The summary above was generated by AI
Requisition Number: 2389584
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 to start Caring. Connecting. Growing together.
Join a high-impact team focused on affordability performance, financial accuracy, and identifying true incremental value. This role partners across Optum Care Delivery Organizations and the national Pharmacy team to support a growing rebate program with significant financial impact. The Actuarial Consultant will help evaluate rebate performance, measure year-over-year improvement, and ensure financial results are accurately reflected in forecasting and affordability reporting. Working closely with finance, accounting, operational, and pharmacy partners, this individual will drive analytical insights, enhance financial reporting and forecasting capabilities. This position is ideal for a detail-oriented professional who enjoys translating data into actionable insights and influencing business decisions.
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:
  • Lead the financial analysis and performance measurement of the rebate program, including monitoring actual results, forecast performance, and variances to plan and budget
  • Develop and maintain actuarial models used to forecast, track, and evaluate affordability performance, risks, and opportunities
  • Translate complex clinical and pharmacy initiatives into analytical frameworks that quantify incremental value and business impact
  • Extract, analyze, and interpret claims and financial data from multiple sources to support strategic decision-making
  • Assess performance drivers to distinguish the impact of underlying trends from operational initiatives and affordability actions
  • Solid ability to partner with clinicians, pharmacists and operators on translating clinical concepts and interventions into a solid, financial model that can be measured appropriately
  • Ability to critically evaluate proposed initiatives, challenge unsupported assumptions, and provide independent assessment of modeling approaches to ensure confidence in projected financial results
  • Prepare clear financial reporting, insights, and recommendations that support forecasting, leadership decision-making, and affordability strategy
  • Take ownership of complex modeling and financial performance issues from discovery and analysis through recommendation, implementation, and follow-up
  • Communicate analytical findings and actionable insights effectively to business, finance, and operational stakeholders

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, Finance, Accounting, Economics, Business Administration, or a related field
  • 3+ years of experience in corporate actuarial, finance, FP&A, financial analysis, accounting, or a related analytical role
  • Experience building actuarial models in SQL (Structured Query Language), SAS (Statistical Analysis System) and/or VBA (Visual Basic for Applications)
  • Advanced Excel skills (pivot tables, v-look up, formulas, and graphs in Excel)
  • Experience conducting complex financial analysis involving claims, performance metrics, forecasts, trends, and variances
  • Demonstrated analytical skills with solid attention to detail, accuracy, and data integrity
  • Demonstrated ability to communicate financial information clearly to both finance and non-finance partners

Preferred Qualifications:
  • Associate of the Society of Actuaries designation
  • Experience supporting pharmaceutical rebate programs
  • Demonstrated ability to be self motivated, inquisitive, and quick to learn new business concepts, with a proactive approach to taking initiative
  • Experienced with any of the following: Underwriting, Financial Reporting, Government Programs, Medicare Advantage (MA) products, Medicare Bids, and/or VBC modeling

*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 $91,700 - $163,700 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.

Similar Jobs at Optum

2 Months Ago
In-Office or Remote
92K-164K Annually
Senior level
92K-164K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
As an Actuarial Senior Consultant, you'll lead analytics projects, provide insights on healthcare technologies, and mentor actuarial staff.
Top Skills: ExcelPythonRSASSQL
53 Minutes Ago
In-Office or Remote
113K-193K Annually
Senior level
113K-193K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Leads client-facing operational delivery for pre-pay and post-pay claims review services across commercial health plan clients. Oversees claims validation, fraud, waste, and error recovery savings, staffing, SLAs, budgets, compliance, quality, process improvement, implementations, and global matrix teams. Partners with clients, operations, finance, sales, research and development, and offshore teams to optimize financial and operational performance.
53 Minutes Ago
In-Office or Remote
29-52 Hourly
Mid level
29-52 Hourly
Mid level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Supports federal personnel security operations by initiating background investigations, reviewing SF-85 submissions, coordinating fingerprinting, managing security documentation and records, tracking cases and deadlines in Smartsheet, coordinating with government PERSEC representatives, and assisting with audits, reporting, credential management, and access authorization. The role requires Secret clearance, knowledge of SEAD 3, SEAD 4, FIS, Trusted Workforce 2.0, and Continuous Vetting.
Top Skills: DeersDissEappNbisSf-85Smartsheet

What you need to know about the Los Angeles Tech Scene

Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.

Key Facts About Los Angeles Tech

  • Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
  • Key Industries: Artificial intelligence, adtech, media, software, game development
  • Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
  • Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account