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Associate Director, Actuarial Services Forecasting - Horsham, PA

UnitedHealth Group

Horsham, PA
Job Code:
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Job Details

Associate Director, Actuarial Services Forecasting - Horsham, PA(Job Number:703397)

We all know that there's a lot more to come in the changes sweeping through the health care industry. But if change is going to shape our world, it's comforting to know that we're shaping the change. At UnitedHealth Group, we seek Actuaries who have the ability to drive change, take appropriate risks and influence individuals at all levels of the organization. As the Associate Director of Actuarial Services, you'll set team direction, solve complex business problems, forecast future claim trends, present findings and influence the decisions of key stakeholders. Key stakeholders include senior management, actuarial consultants, our client and state regulators. Join us. There's never been a better time to do your life's best work.(sm)


Primary Responsibilities:

  • This position will be responsible for leading the Medicare Supplement claim forecasting team
  • Identify and quantify trends in medical cost drivers and potential areas of medical cost improvements
  • Monitor and quantify the impact on claim trends from changes in Medicare payment rates, environmental factors, and business changes. Anticipate and project future trend drivers
  • Conduct and evaluate studies on utilization and health care costs
  • Create, modify, run and test actuarial claim forecasting models
  • Develop conclusions from actuarial analyses and clearly present their meaning and impact
  • Appropriately balance actuarial theory with practical business realities (e.g., time/resource constraints, data availability, market conditions)
  • Prepare required regulatory and statutory filings
  • Leadership / Planning:
    • Provide leadership to and is accountable for the performance of actuarial staff
    • Leverage sphere of influence to remove obstacles and resolve problems in order to deliver timely and impactful projects
    • Leverage extensive experience and judgment to plan and execute departmental goals that enable our organization to meet or exceed its business objectives
    • Influence the decisions of senior leaders and client
    • Collaborate with other leaders across the business to develop solutions to business challenges
    • Bring in the right talent, develop talent, set goals and evaluate performance
  • Values:
    • Lead by casting a United values-driven leadership shadow to positively influence employee engagement and performance
    • Interpret, adhere to and apply relevant state and federal laws/regs (e.g., STAT, rating)
    • Interpret, adhere to and apply actuarial standards of practice (ASOPs)

Job Actuarial Services
Primary Location US-PA-Horsham
Other Location 
Organization M&R Insurance Solutions
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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