Director, Actuarial Services - Remote

Improve the lives of others while Caring. Connecting. Growing together.

Job Description
- Director, Actuarial Services
- Remote (2388138)

Director, Actuarial Services
- Remote - 2388138

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.

Optum Health is a nationwide health care delivery organization reinventing health care to help keep everyone healthier and feeling their best. In all we do, we are committed to the quadruple aim — improving patient satisfaction, lowering costs, delivering quality outcomes and increasing provider satisfaction. Optum Care is part of a larger Optum Health care delivery network, which is at the intersection between primary care, ambulatory surgical sites and further development of specialty and ancillary networks.

More than 60,000 doctors and over 2,000 primary, specialty, urgent, and surgical sites across the country work together to help people live healthier lives. The goal is to put each person on the right course of care, and we do this by providing each patient with a care team that works together to meet the patient's needs.

The Director, Actuarial Services is a key role within the Optum Health National Actuarial and Healthcare Economics (HCE) team, responsible for overseeing, executing, and communicating key actuarial functions for our Medicare Accountable Care Organizations (ACO) lines of business. This role involves managing resources and deliverables while providing customers in a risk-taking provider organization with business recommendations and contributing to the company’s financial success.

This position leads a growing actuarial team responsible for assessing and quantifying risk in risk based contracts across the provider organization, and for developing strategies and designing actuarial models to support contract negotiations.

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:

• Serve as the actuarial lead and primary point of contact for Medicare ACO programs (ex. MSSP, REACH / LEAD, etc.), representing the team in cross-functional discussions and providing actuarial guidance on forecasting, underwriting, performance evaluation, and strategic decision-making
• Lead the development and oversight of actuarial models and forecasts to support Medicare value-based arrangements
• Develop and recommend actuarially sound financial terms to effectively manage risk in risk based arrangements
• Translate complex analytical findings into clear, actionable insights for operators, provider partners, finance leadership, and senior executives
• Provide actuarial expertise and strategic recommendations to support program selections, contract negotiations, performance tracking, and risk management
• Drive strategic initiatives, process improvements, and innovation through AI implementation, predictive modeling and creative problem solving
• Partner cross-functionally to identify cost mitigation opportunities and support enterprise-wide initiatives
• Oversee day-to-day execution of actuarial and analytic work in analyzing financial,…