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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Actuarial Consultant within UHG's Medicare & Retirement (M&R), you will face a number of diverse challenges in the actuarial space including data analysis, Excel modeling, and other analytics in support of the Medicare Advantage bid process. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends, projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 Minimum of four actuarial exams passed 3+ years of actuarial experience Advanced or higher level of proficiency with Excel and experience working with large sets of data Preferred Qualifications: ASA credential or greater Experience with Medicare Advantage Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS and/or SQL 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Actuarial Consultant within UHG's Medicare & Retirement (M&R), you will face a number of diverse challenges in the actuarial space including data analysis, Excel modeling, and other analytics in support of the Medicare Advantage bid process. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends, projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 Minimum of four actuarial exams passed 3+ years of actuarial experience Advanced or higher level of proficiency with Excel and experience working with large sets of data Preferred Qualifications: ASA credential or greater Experience with Medicare Advantage Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS and/or SQL 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Actuarial Consultant within UHG's Medicare & Retirement (M&R), you will face a number of diverse challenges in the actuarial space including data analysis, Excel modeling, and other analytics in support of the Medicare Advantage bid process. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends, projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 Minimum of four actuarial exams passed 3+ years of actuarial experience Advanced or higher level of proficiency with Excel and experience working with large sets of data Preferred Qualifications: ASA credential or greater Experience with Medicare Advantage Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS and/or SQL 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Actuarial Consultant within UHG's Medicare & Retirement (M&R), you will face a number of diverse challenges in the actuarial space including data analysis, Excel modeling, and other analytics in support of the Medicare Advantage bid process. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends, projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 Minimum of four actuarial exams passed 3+ years of actuarial experience Advanced or higher level of proficiency with Excel and experience working with large sets of data Preferred Qualifications: ASA credential or greater Experience with Medicare Advantage Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS and/or SQL 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Actuarial Consultant within UHG's Medicare & Retirement (M&R), you will face a number of diverse challenges in the actuarial space including data analysis, Excel modeling, and other analytics in support of the Medicare Advantage bid process. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends, projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 Minimum of four actuarial exams passed 3+ years of actuarial experience Advanced or higher level of proficiency with Excel and experience working with large sets of data Preferred Qualifications: ASA credential or greater Experience with Medicare Advantage Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS and/or SQL 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Actuarial Consultant within UHG's Medicare & Retirement (M&R), you will face a number of diverse challenges in the actuarial space including data analysis, Excel modeling, and other analytics in support of the Medicare Advantage bid process. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends, projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 Minimum of four actuarial exams passed 3+ years of actuarial experience Advanced or higher level of proficiency with Excel and experience working with large sets of data Preferred Qualifications: ASA credential or greater Experience with Medicare Advantage Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS and/or SQL 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together . As the Associate Director of Actuarial Services within UHC Medicare & Retirement segment, you will work with an elite actuarial team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year. You'll interact with senior leadership inside and outside the organization with a focus on Medicare Part D, driving financial performance to achieve business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide design and oversight of complex actuarial models specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team of actuaries Oversee the development of actuarial pricing models Develop pricing methodologies and assumptions Analyze forecasts and trends Assist with designing and analyzing new products Identify and resolve technical, operational and organizational problems 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+ actuarial exams passed 5+ years of actuarial, health care economics or similar experience 2+ years of experience mentoring Actuarial students and/or junior staff members Extensive knowledge of design and pricing concepts and methodologies in health care Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation Experience in Medicare Advantage, PBM, and/or Part D pricing or forecasting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is 106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together . As the Associate Director of Actuarial Services within UHC Medicare & Retirement segment, you will work with an elite actuarial team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year. You'll interact with senior leadership inside and outside the organization with a focus on Medicare Part D, driving financial performance to achieve business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide design and oversight of complex actuarial models specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team of actuaries Oversee the development of actuarial pricing models Develop pricing methodologies and assumptions Analyze forecasts and trends Assist with designing and analyzing new products Identify and resolve technical, operational and organizational problems 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+ actuarial exams passed 5+ years of actuarial, health care economics or similar experience 2+ years of experience mentoring Actuarial students and/or junior staff members Extensive knowledge of design and pricing concepts and methodologies in health care Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation Experience in Medicare Advantage, PBM, and/or Part D pricing or forecasting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is 106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together . As the Associate Director of Actuarial Services within UHC Medicare & Retirement segment, you will work with an elite actuarial team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year. You'll interact with senior leadership inside and outside the organization with a focus on Medicare Part D, driving financial performance to achieve business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide design and oversight of complex actuarial models specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team of actuaries Oversee the development of actuarial pricing models Develop pricing methodologies and assumptions Analyze forecasts and trends Assist with designing and analyzing new products Identify and resolve technical, operational and organizational problems 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+ actuarial exams passed 5+ years of actuarial, health care economics or similar experience 2+ years of experience mentoring Actuarial students and/or junior staff members Extensive knowledge of design and pricing concepts and methodologies in health care Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation Experience in Medicare Advantage, PBM, and/or Part D pricing or forecasting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is 106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together . As the Associate Director of Actuarial Services within UHC Medicare & Retirement segment, you will work with an elite actuarial team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year. You'll interact with senior leadership inside and outside the organization with a focus on Medicare Part D, driving financial performance to achieve business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide design and oversight of complex actuarial models specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team of actuaries Oversee the development of actuarial pricing models Develop pricing methodologies and assumptions Analyze forecasts and trends Assist with designing and analyzing new products Identify and resolve technical, operational and organizational problems 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+ actuarial exams passed 5+ years of actuarial, health care economics or similar experience 2+ years of experience mentoring Actuarial students and/or junior staff members Extensive knowledge of design and pricing concepts and methodologies in health care Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation Experience in Medicare Advantage, PBM, and/or Part D pricing or forecasting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is 106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire. Location: Queens, Bronx, or Manhattan, NY Primary Responsibilities: Enroll eligible members in UHC Essential Plan Build and foster relationships with key accounts (provider offices, CBOs, housings, etc.) The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing sales Serve as point of contact for member to provide excellent service and enrollment experience Lead pipeline management Responsible for meeting or exceeding sales and enrollment expectations within assigned territory Conduct product information presentations in multiple settings, including in-home consultations Function independently and responsibly with minimal need for supervision Track and measures various sales event effectiveness and activities, events, leads & lead progress, sales, appointments, contacts, and relationship progress daily through internal systems Provide input, support and feedback on promotional opportunities, benefits, and other issues Stay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriate Ability to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashion Ability to track a schedule to keep appointments on time and information pertaining to those appointments in timely manner Input consumer demographics and interactions into company systems as appropriate Performs other duties as required Demonstrated Skills: Execute excellent communication, interpersonal, time management and organizational skills Excellent relationship building skills Ability to be compassionate while selling Function independently and responsibly with minimal need for supervision Ability to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients 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: High School Diploma/GED 2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experience Valid driver's license, good driving history, reliable transportation, and current automobile insurance Proficient in MS Office (Outlook, Word, Excel, Power Point) Ability to travel locally up to 100% of time within assigned sales territories in this NY market area Insured, dependable vehicle with current driver's license Ability to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when required Reside within/commutable distance of their target geography Health & Accident Insurance license required. If you do not already have one, you must be willing to obtain a (company-sponsored) state health/life insurance license within 30 days of hire Preferred Qualifications: Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities Outside sales and territory management experience Demonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided Proven established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territory Bilingual (Russian, Spanish, English, Arabic, French, etc.) Proven tp act as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respect Valid driver's license, good driving history, reliable transportation, and current automobile insurance 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 hourly pay for this role will range from $19.23 to $38.46 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together Working under the direction of the Essential Plan (EP) Sales & Account management and collectively with the Business Development and Community Outreach team, the Sales Account Manager will interface with New York Health Plan to increase marketing synergy and drive overall membership growth. The EP Account Manager is a field-based role that establishes and cultivates strategic business relationships with key sales and market influencers, potential new customers, and related community institutions. The Essential Plan is for New Yorkers between the ages of 19-64. This position requires someone with tenacity to perform sales activities both indoors and outdoors. Function identified will be new Business to Business (B2B) opportunities for the purpose of prospecting and enrolling new Essential Plan eligible including vertical channels (dental, vision, fitness, colleges, trade schools, small businesses, as well as industry sectors identified by your manager) that support EP Growth strategy in key areas in New York. Training on all government programs will be conducted upon hire. Location: Queens, Bronx, or Manhattan, NY Primary Responsibilities: Enroll eligible members in UHC Essential Plan Build and foster relationships with key accounts (provider offices, CBOs, housings, etc.) The EP Account Manager presents health plan information to providers, business advocacies, potential eligible and responsible for closing sales Serve as point of contact for member to provide excellent service and enrollment experience Lead pipeline management Responsible for meeting or exceeding sales and enrollment expectations within assigned territory Conduct product information presentations in multiple settings, including in-home consultations Function independently and responsibly with minimal need for supervision Track and measures various sales event effectiveness and activities, events, leads & lead progress, sales, appointments, contacts, and relationship progress daily through internal systems Provide input, support and feedback on promotional opportunities, benefits, and other issues Stay informed on UHC operations, provider network, premiums, member services, claims, explanation of benefits, processes and other services and issues to provide community partners, prospects, and members with accurate information, and provide feedback as appropriate Ability to manage multiple priorities including visiting provider offices on a regular basis and following up on leads in a timely fashion Ability to track a schedule to keep appointments on time and information pertaining to those appointments in timely manner Input consumer demographics and interactions into company systems as appropriate Performs other duties as required Demonstrated Skills: Execute excellent communication, interpersonal, time management and organizational skills Excellent relationship building skills Ability to be compassionate while selling Function independently and responsibly with minimal need for supervision Ability to manage multiple priorities as it relates to meeting enrollment goals Ability to communicate complex healthcare information to potential clients 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: High School Diploma/GED 2+ years of business-to-business (B2B), Business to consumer (B2C) Direct marketing, outside sales or community outreach experience Valid driver's license, good driving history, reliable transportation, and current automobile insurance Proficient in MS Office (Outlook, Word, Excel, Power Point) Ability to travel locally up to 100% of time within assigned sales territories in this NY market area Insured, dependable vehicle with current driver's license Ability to work core business hours, Monday - Friday 8am-5pm and nights and weekends, when required Reside within/commutable distance of their target geography Health & Accident Insurance license required. If you do not already have one, you must be willing to obtain a (company-sponsored) state health/life insurance license within 30 days of hire Preferred Qualifications: Experience working with communities of all different ethnicities, cultural backgrounds, diverse populations and/or underserved communities Outside sales and territory management experience Demonstrated knowledge of Essential Plan Market Place marketing rules and regulations preferred, training in all lines of businesses will be provided Proven established professional relationships with non-profits, community sources CBO's, religious/faith-based organizations FBO's in designated sales territory Bilingual (Russian, Spanish, English, Arabic, French, etc.) Proven tp act as a team player - work collaboratively with others (both inside the sales unit as well as outside) to achieve goals, relate to others in an open and accepting manner, keep others up to date on information they need, contribute ideas and support decisions made by the team and the organization, treat people with dignity and respect Valid driver's license, good driving history, reliable transportation, and current automobile insurance 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 hourly pay for this role will range from $19.23 to $38.46 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together . As the Associate Director of Actuarial Services within UHC Medicare & Retirement segment, you will work with an elite actuarial team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year. You'll interact with senior leadership inside and outside the organization with a focus on Medicare Part D, driving financial performance to achieve business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide design and oversight of complex actuarial models specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team of actuaries Oversee the development of actuarial pricing models Develop pricing methodologies and assumptions Analyze forecasts and trends Assist with designing and analyzing new products Identify and resolve technical, operational and organizational problems 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+ actuarial exams passed 5+ years of actuarial, health care economics or similar experience 2+ years of experience mentoring Actuarial students and/or junior staff members Extensive knowledge of design and pricing concepts and methodologies in health care Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation Experience in Medicare Advantage, PBM, and/or Part D pricing or forecasting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is 106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together . As the Associate Director of Actuarial Services within UHC Medicare & Retirement segment, you will work with an elite actuarial team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year. You'll interact with senior leadership inside and outside the organization with a focus on Medicare Part D, driving financial performance to achieve business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide design and oversight of complex actuarial models specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team of actuaries Oversee the development of actuarial pricing models Develop pricing methodologies and assumptions Analyze forecasts and trends Assist with designing and analyzing new products Identify and resolve technical, operational and organizational problems 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+ actuarial exams passed 5+ years of actuarial, health care economics or similar experience 2+ years of experience mentoring Actuarial students and/or junior staff members Extensive knowledge of design and pricing concepts and methodologies in health care Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation Experience in Medicare Advantage, PBM, and/or Part D pricing or forecasting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is 106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together . As the Associate Director of Actuarial Services within UHC Medicare & Retirement segment, you will work with an elite actuarial team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year. You'll interact with senior leadership inside and outside the organization with a focus on Medicare Part D, driving financial performance to achieve business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide design and oversight of complex actuarial models specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team of actuaries Oversee the development of actuarial pricing models Develop pricing methodologies and assumptions Analyze forecasts and trends Assist with designing and analyzing new products Identify and resolve technical, operational and organizational problems 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+ actuarial exams passed 5+ years of actuarial, health care economics or similar experience 2+ years of experience mentoring Actuarial students and/or junior staff members Extensive knowledge of design and pricing concepts and methodologies in health care Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation Experience in Medicare Advantage, PBM, and/or Part D pricing or forecasting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is 106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together . As the Associate Director of Actuarial Services within UHC Medicare & Retirement segment, you will work with an elite actuarial team committed to changing health care through outstanding service, valuable products, measurable savings and health care plans designed to fit members' lives, year after year. You'll interact with senior leadership inside and outside the organization with a focus on Medicare Part D, driving financial performance to achieve business objectives. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide design and oversight of complex actuarial models specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team of actuaries Oversee the development of actuarial pricing models Develop pricing methodologies and assumptions Analyze forecasts and trends Assist with designing and analyzing new products Identify and resolve technical, operational and organizational problems 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+ actuarial exams passed 5+ years of actuarial, health care economics or similar experience 2+ years of experience mentoring Actuarial students and/or junior staff members Extensive knowledge of design and pricing concepts and methodologies in health care Basic or higher level of proficiency in SAS (Statistical Analysis System), SQL (Structure Query Language) or other programming system Preferred Qualifications: ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation Experience in Medicare Advantage, PBM, and/or Part D pricing or forecasting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is 106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together As a Field-Based Case Manager (CM), you will act in a liaison role to ensure appropriate care is accessed, as well as to provide home and social assessments and member education. Case Managers work in a team based structure and spend the majority of their time in the community engaging directly with members. If you reside within a commutable distance of Pickaway, Fairfield, Ross, Fayette or Madison Counties, OH, you will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: Engage members either face to face or over the phone to assist with closing gaps in care, linking to necessary services and providing education about their health Review available member service records and relevant documentation (e.g. utilization history, functional level, stratification information, current plan of care) Conduct member health assessment that includes bio-psychosocial, functional, and behavioral health needs Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment Identify member service needs related to health concerns Identify urgent member situations Engage member to participation in the assessment process and collaboratively develop Care Plan based on individual needs, preferences, and objectives Provide nursing oversight while collaborating with Care Guides (CGs) Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals Identify member support systems available and incorporate into their Care Plan Review plan benefits and identify appropriate programs and services based on health needs and benefits Integrate health care and services needs into a plan or recommendation for member care and service Work collaboratively with the interdisciplinary care team to ensure an integrated tam approach Collaborate with member to create solutions to overcome barriers to achieving healthcare goals Identify relevant community resources available based on member needs Refer members to appropriate programs and services Facilitate member choice of preferred provider Advocate for individuals and communities within the health and social service systems 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: State of Ohio RN License, and applicable degree Field-based experience Knowledge of culture and values of community Familiarity with the resources available in the community Resided within the local community for 2+ years Reside or be able to commute within Jefferson County, Ohio Ability to travel locally up to 75% of the time Access to reliable transportation that will enable you to travel to member and/or patient sites within a designated area Available to work Monday through Friday 8:00 AM to 5:00 PM Have a dedicated work area established that is separated from other living areas and provides information privacy Proven ability to keep all company sensitive documents secure Live in a location that can receive UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Preferred Qualifications: Case Management Certification (CCM) Care management experience Experience working in Managed Care Telephonic customer service experience Knowledge of Medicaid and/or Medicare population Knowledge and/or experience with behavioral health or substance use disorders Employment in a medical office or other provider environment 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 hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.
10/21/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together As a Field-Based Case Manager (CM), you will act in a liaison role to ensure appropriate care is accessed, as well as to provide home and social assessments and member education. Case Managers work in a team based structure and spend the majority of their time in the community engaging directly with members. If you reside within a commutable distance of Pickaway, Fairfield, Ross, Fayette or Madison Counties, OH, you will have the flexibility to work remotely as you take on some tough challenges. Primary Responsibilities: Engage members either face to face or over the phone to assist with closing gaps in care, linking to necessary services and providing education about their health Review available member service records and relevant documentation (e.g. utilization history, functional level, stratification information, current plan of care) Conduct member health assessment that includes bio-psychosocial, functional, and behavioral health needs Utilize interviewing techniques and active listening to collect and retain member information and incorporating responses as they are presented to complete assessment Identify member service needs related to health concerns Identify urgent member situations Engage member to participation in the assessment process and collaboratively develop Care Plan based on individual needs, preferences, and objectives Provide nursing oversight while collaborating with Care Guides (CGs) Work with members to develop healthcare goals and identify potential barriers to achieving healthcare goals Identify member support systems available and incorporate into their Care Plan Review plan benefits and identify appropriate programs and services based on health needs and benefits Integrate health care and services needs into a plan or recommendation for member care and service Work collaboratively with the interdisciplinary care team to ensure an integrated tam approach Collaborate with member to create solutions to overcome barriers to achieving healthcare goals Identify relevant community resources available based on member needs Refer members to appropriate programs and services Facilitate member choice of preferred provider Advocate for individuals and communities within the health and social service systems 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: State of Ohio RN License, and applicable degree Field-based experience Knowledge of culture and values of community Familiarity with the resources available in the community Resided within the local community for 2+ years Reside or be able to commute within Jefferson County, Ohio Ability to travel locally up to 75% of the time Access to reliable transportation that will enable you to travel to member and/or patient sites within a designated area Available to work Monday through Friday 8:00 AM to 5:00 PM Have a dedicated work area established that is separated from other living areas and provides information privacy Proven ability to keep all company sensitive documents secure Live in a location that can receive UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Preferred Qualifications: Case Management Certification (CCM) Care management experience Experience working in Managed Care Telephonic customer service experience Knowledge of Medicaid and/or Medicare population Knowledge and/or experience with behavioral health or substance use disorders Employment in a medical office or other provider environment 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 hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. You'll enjoy the flexibility to work remotely from anywhere in the U.S. as you take on some tough challenges. This position is open to anyone who would work remotely in the U.S. The preferred location for this position is a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 5+ years of Actuarial work experience Experience working with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. You'll enjoy the flexibility to work remotely from anywhere in the U.S. as you take on some tough challenges. This position is open to anyone who would work remotely in the U.S. The preferred location for this position is a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 5+ years of Actuarial work experience Experience working with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. You'll enjoy the flexibility to work remotely from anywhere in the U.S. as you take on some tough challenges. This position is open to anyone who would work remotely in the U.S. The preferred location for this position is a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 5+ years of Actuarial work experience Experience working with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. You'll enjoy the flexibility to work remotely from anywhere in the U.S. as you take on some tough challenges. This position is open to anyone who would work remotely in the U.S. The preferred location for this position is a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 5+ years of Actuarial work experience Experience working with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. You'll enjoy the flexibility to work remotely from anywhere in the U.S. as you take on some tough challenges. This position is open to anyone who would work remotely in the U.S. The preferred location for this position is a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 5+ years of Actuarial work experience Experience working with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. You'll enjoy the flexibility to work remotely from anywhere in the U.S. as you take on some tough challenges. This position is open to anyone who would work remotely in the U.S. The preferred location for this position is a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 5+ years of Actuarial work experience Experience working with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. You'll enjoy the flexibility to work remotely from anywhere in the U.S. as you take on some tough challenges. This position is open to anyone who would work remotely in the U.S. The preferred location for this position is a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 5+ years of Actuarial work experience Experience working with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As an Associate Director Actuarial Services within UHC M&R, you will lead actuarial efforts including data analysis, Excel modeling, and other actuarial analytics in support of the Medicare Advantage bid process. You will have the opportunity to lead special projects in coordination with other functional teams across the broader organization. You'll enjoy the flexibility to work remotely from anywhere in the U.S. as you take on some tough challenges. This position is open to anyone who would work remotely in the U.S. The preferred location for this position is a hybrid work schedule in the Minnetonka, MN office. Primary Responsibilities: Prepare Medicare Advantage bids submitted to CMS annually Conduct data analysis and prepare reports for Medicare Advantage submissions Understand and interpret the key drivers of health care trends; projecting expected revenue and cost Develop pricing methodologies and assumptions Conduct and evaluate studies on pricing, utilization and health care costs Perform mathematical analyses and actuarial modeling to provide management with statistical findings and conclusions Perform quantitative analysis of actuarial, financial, utilization and costs data Analyze forecasts and trends to help leaders make decisions 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 5+ years of Actuarial work experience Experience working with Medicare Advantage Advanced or higher level of proficiency with MS Excel (expertise with large tables of data, formulas, and calculations) Preferred Qualifications: Experience working in the finance-related field of the health care industry Basic or higher level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm . Primary Responsibilities: Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently Educate and guide members regarding BHSUD Assist members with adverse determinations, including the appeal process Teach members how to navigate UMR internet-based wellness tools and resources Outreach to membership providing pre-admission counseling to membership Outreach to membership providing discharge planning to membership and caretakers Track all activities and provide complete documentation to generate customer reporting Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases Contribute to treatment plan discussions Other duties as assigned 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: Current and unrestricted RN compact license 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of case management experience Demonstrated basic computer proficiency (i.e. MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of managed care experience Critical care, pediatric, med-surg and/or telemetry experience Utilization management experience Adverse determination experience Telecommute experience Soft Skills: Demonstrated excellent verbal and written communication skills Excellent customer service orientation Proven team player and team building skills Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment 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 $58,800 to $105,000 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.
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Associate Director of Actuarial within UHC Medicare & Retirement will perform various analytics related to claim trends and business performance, support and help drive regulatory advocacy efforts and will complete rate filings for Medicare Supplement products. The Associate Director will perform critical data analysis, SAS/SQL/Excel modeling, and actuarial analytics while developing and strengthening processes and models. As a subject matter expert, the Associate Director will work directly with state regulators to file and obtain state rate filing approvals. The environment is challenging and fast-paced, requiring flexibility and curiosity. Team members are expected to have a high level of energy, a passion for driving demonstrable value at speed, and making a positive impact both within and beyond United Healthcare. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. The preferred location for this position is the Fort Washington, PA office. Primary Responsibilities: Participate in the end-to-end rate filing process, including preparing filings, ensuring compliance with state regulations, and working directly with state regulators in responding to questions and making recommendations to influence filing outcomes Appropriately reflect pricing methodologies and assumptions within statutory filings Create, modify, run and test models used to help support regulatory filing activities Perform various analytics related to claim trends and business performance, support and help drive regulatory advocacy efforts Assist in developing analytics that support ongoing and new advocacy efforts related to regulatory filings Appropriately balance actuarial theory with practical business realities (e.g., time / resource constraints, data availability, market conditions) Translate highly complex concepts in ways that can be understood by a variety of audiences including senior leaders Monitor environmental factors (competitors and regulatory), anticipate and communicate impact on business to external areas, recommend solutions and influence appropriate courses of action to senior leaders Collaborate with team members across the business to develop solutions to business challenges including finance, product, actuarial, and sales 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 6+ years of Actuarial experience in the healthcare insurance industry (pricing, claims forecasting, healthcare economics, reserving, risk management, or similar) Advanced or higher level of proficiency with Excel and Access Preferred Qualifications: Experience working with Medicare plans (preferably Medicare Supplement) Basic level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
10/20/2025
Full time
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 equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Associate Director of Actuarial within UHC Medicare & Retirement will perform various analytics related to claim trends and business performance, support and help drive regulatory advocacy efforts and will complete rate filings for Medicare Supplement products. The Associate Director will perform critical data analysis, SAS/SQL/Excel modeling, and actuarial analytics while developing and strengthening processes and models. As a subject matter expert, the Associate Director will work directly with state regulators to file and obtain state rate filing approvals. The environment is challenging and fast-paced, requiring flexibility and curiosity. Team members are expected to have a high level of energy, a passion for driving demonstrable value at speed, and making a positive impact both within and beyond United Healthcare. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. The preferred location for this position is the Fort Washington, PA office. Primary Responsibilities: Participate in the end-to-end rate filing process, including preparing filings, ensuring compliance with state regulations, and working directly with state regulators in responding to questions and making recommendations to influence filing outcomes Appropriately reflect pricing methodologies and assumptions within statutory filings Create, modify, run and test models used to help support regulatory filing activities Perform various analytics related to claim trends and business performance, support and help drive regulatory advocacy efforts Assist in developing analytics that support ongoing and new advocacy efforts related to regulatory filings Appropriately balance actuarial theory with practical business realities (e.g., time / resource constraints, data availability, market conditions) Translate highly complex concepts in ways that can be understood by a variety of audiences including senior leaders Monitor environmental factors (competitors and regulatory), anticipate and communicate impact on business to external areas, recommend solutions and influence appropriate courses of action to senior leaders Collaborate with team members across the business to develop solutions to business challenges including finance, product, actuarial, and sales 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 ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries) designation 6+ years of Actuarial experience in the healthcare insurance industry (pricing, claims forecasting, healthcare economics, reserving, risk management, or similar) Advanced or higher level of proficiency with Excel and Access Preferred Qualifications: Experience working with Medicare plans (preferably Medicare Supplement) Basic level of proficiency with SAS (Statistical Analysis System) and/or SQL (Structured Query Language) 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 $110,200 to $188,800 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.
