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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. naviHealth is seeking an experienced actuarial specialist, to support all analytical needs with respect to a portfolio of client relationships. While this Team is highly collaborative, this is an analytical, individual-contributor role requiring rich healthcare experience, critical thinking skills, independence, strategic mindset, attention to detail, and an ability to multi-task in a fast-paced environment. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Research, analyze, present results, and recommend intelligent solutions to solve problems and address business challenges by applying a knowledge of data analysis, critical-thinking skills, and healthcare experience/expertise Structure analytical results in an organized, visual manner to tell a meaningful, actionable story Write SQL queries, build excel models, and apply varying actuarial techniques to solve specific business problems Perform data quality checking and usability analysis to identify anomalies which need to be addressed prior to delivery of analytic results Develop, implement, and revise detailed claims analysis. Build and apply completion factors for IBNR estimates Monthly revenue projections and annual client reconciliations. Use actuarial judgement to adjust these processes where necessary Establish trusting professional relationships with internal senior business customers Maintain alignment of expectations and priorities in autonomous fashion 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 4 years of experience or proven ability working as an actuarial analyst, preferably in the health care industry 4 actuarial exams Proven experience working with Medicare paid claims data sets. Other applicable data sets include Census and Member Eligibility data sets Experience in data mining, statistical analysis, and data transformation/manipulation Expertise in MS Excel and reasonable experience with Structured Query Language (SQL) Proven ability to build SQL and excel based actuarial models for projecting healthcare costs Proven ability to produce clear, written supporting documentation Preferred Qualifications: Experience in Medicare Advantage Proven ability to effectively communicate and audit model results Ability to tell a succinct, meaningful, and actionable story with data using visualization and other techniques Proven advanced analytic skills with the ability to analyze and interpret data through complex analysis Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges. California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only: The salary range for California, Colorado, Connecticut, Nevada, New York, Rhode Island or Washington residents is $85,000 to $167,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.