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Director of Actuarial Pricing Strategy - Remote

Remote / Online - Candidates ideally in
Eden Prairie, Hennepin County, Minnesota, 55344, USA
Listing for: UnitedHealth Group Inc.
Remote/Work from Home position
Listed on 2026-06-20
Job specializations:
  • Finance & Banking
    Risk Manager/Analyst, Financial Consultant
Job Description & How to Apply Below
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.

As a Director of Actuarial Pricing Strategy, ORx, you will lead pricing strategy for the Pharmacy Benefit Manager (PBM) business, shaping how ORx competes in the market across RFPs, client requests, and underwriting decisions. This role positions the US actuarial function as a core commercial partner, supporting growth through disciplined, market informed pricing and solid actuarial engagement with clients and external consulting firms.

The Director is accountable for translating underwritten model outputs into clear, defensible pricing strategies that balance competitiveness, risk, and profitability. You will set the strategic direction for how pricing recommendations are developed, governed, and communicated, ensuring consistency across RFP responses, client negotiations, and deal structuring.

In this role, you will partner closely with the Actuarial Director responsible for Trend & Assumption setting, ensuring pricing strategies are informed by robust underlying assumptions while remaining focused on commercial decisions and market impact. You will partner closely with underwriting, industry relations pre-deals, sales, and finance and play a hands on leadership role in advancing pricing capabilities and ensuring pricing strategy is aligned with ORx's broader growth and financial objectives.

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 ORx PBM actuarial pricing strategy across Commerical, Medicare Part D and Medicaid lines of business, supporting RFP responses, client requests, and underwriting decisions

* Translate underwriting model outputs into clear, competitive, and financially sound pricing recommendations that balance risk, profitability, and market positioning

* Partner closely with the Director responsible for trend assumption setting to ensure pricing strategies are informed by robust assumptions while remaining aligned to commercial and market objectives

* Develop and recommend pricing structures and financial terms to support contract negotiations and effective risk management in risk based arrangements

* Serve as a key actuarial partner to sales, underwriting, industry relations, and finance, providing pricing guidance to support deal structuring, client discussions, and consultant engagement

* Support and lead actuarial contributions to RFPs, client specific analyses, and external consulting firm inquiries, representing ORx actuarial capabilities in market facing discussions

* Provide actuarial leadership on pricing performance evaluation, identifying opportunities to refine strategy based on emerging experience and market feedback

* Drive strategic initiatives to enhance pricing governance, consistency, and execution across contracts and client segments

* Communicate pricing strategy and recommendations clearly to both technical and non technical audiences through presentations, discussions, and written materials

* Mentor and support junior Actuaries and analysts, with a focus on pricing acumen and professional development

All while working in an environment that allows:

* Flexibility in your work schedule

* Inclusion into the UHG Actuarial Study Program, including company sponsored study hours and study materials

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…
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