Optum
Actuarial Consultant, Surest / UHC Provider & Network Analytics - Remote (New York, NY preferred)
Be an Early Applicant
Supports actuarial analyses for provider evaluation, network strategy, premium designation, and healthcare affordability. Analyzes claims, enrollment, provider, utilization, and financial data; builds and validates models, datasets, dashboards, and reporting processes; develops methodologies; and communicates recommendations to cross-functional stakeholders. The role also supports peer review, governance, documentation, workflow automation, reproducibility, and scalable analytics.
Requisition Number: 2369602
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
We are looking for an actuarial professional to support high-impact analytics across Surest and UnitedHealthcare actuarial initiatives, with a focus on provider evaluation, network strategy, premium designation support, and data-driven healthcare affordability work. This role will help translate complex claims and provider data into actionable insights used by actuarial, network, product, and business partners.
The position is a strong fit for someone who combines actuarial judgment, healthcare claims experience, analytical rigor, and the ability to communicate clearly with cross-functional stakeholders. This is a growth-oriented role with exposure to strategic work across Surest and broader UHC priorities.
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. The preferred location for this position is working with the team in the New York, NY office on a hybrid schedule.
Primary Responsibilities:
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:
Preferred Qualifications:
*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 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.
#UHCPJ
#BI-Hybrid
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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
We are looking for an actuarial professional to support high-impact analytics across Surest and UnitedHealthcare actuarial initiatives, with a focus on provider evaluation, network strategy, premium designation support, and data-driven healthcare affordability work. This role will help translate complex claims and provider data into actionable insights used by actuarial, network, product, and business partners.
The position is a strong fit for someone who combines actuarial judgment, healthcare claims experience, analytical rigor, and the ability to communicate clearly with cross-functional stakeholders. This is a growth-oriented role with exposure to strategic work across Surest and broader UHC priorities.
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. The preferred location for this position is working with the team in the New York, NY office on a hybrid schedule.
Primary Responsibilities:
- Support actuarial analyses related to Surest and UHC provider, network, and affordability initiatives, including work connected to provider benchmarking and Premium Designation support
- Analyze healthcare claims, enrollment, provider, and financial data to identify cost, utilization, and performance patterns
- Build, validate, and maintain actuarial models, analytical datasets, dashboards, and recurring reporting processes
- Partner with actuarial, analytics, network, product, finance, and business stakeholders to translate analytical findings into practical business recommendations
- Contribute to methodology development for provider evaluation, benchmarking, network performance measurement, and related actuarial studies
- Document assumptions, methods, limitations, and business interpretation clearly enough for both technical and non-technical audiences
- Support quality review, peer review, and governance expectations for actuarial analyses and recurring deliverables
- Help identify opportunities to improve analytical workflows, including automation, reproducibility, and scalable data processes
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, Mathematics, Statistics, Economics, Data Science, Finance, or a related quantitative field
- Progress toward obtaining Associate or Fellow of the Society of Actuaries designation
- 3+ years of actuarial/healthcare analytics experience
- Experience working with healthcare claims, medical cost, provider, network, utilization, pricing, reserving, risk adjustment, or related health insurance analytics
- Solid analytical skills, including ability to work with large datasets and evaluate results for reasonableness
- Intermediate or higher level of proficiency with analytical tools such as Excel and at least one programming/querying environment such as SQL, Python, R, SAS, or similar
- Ability to explain complex analytical findings clearly to business partners
- Demonstrated attention to detail, ownership, and ability to manage multiple priorities
Preferred Qualifications:
- ASA or FSA
- Experience with commercial health insurance, value-based care, provider performance, network analytics, or healthcare affordability programs
- Experience with Python, SQL, Spark, Databricks, or cloud-based data environments
- Experience developing reproducible analytical workflows, dashboards, or automated reporting tools
- Experience communicating results to senior stakeholders or cross-functional leadership
- Familiarity with actuarial standards of practice, model governance, peer review, or regulated healthcare analytics
- Ability to work across actuarial, analytics, product, network, and operational teams
*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 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.
#UHCPJ
#BI-Hybrid
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