[Remote] Actuarial Consultant - Remote

Note: The job is a remote job and is open to candidates in USA. Optum is hiring an Actuarial Consultant to evaluate rebate program performance, measure financial results, and improve forecasting and affordability reporting. The role develops actuarial models, analyzes claims and financial data, and partners with pharmacy, finance, accounting, clinical, and operational stakeholders to inform business decisions.

Responsibilities

• Lead the financial analysis and performance measurement of the rebate program, including monitoring actual results, forecast performance, and variances to plan and budget
• Develop and maintain actuarial models used to forecast, track, and evaluate affordability performance, risks, and opportunities
• Translate complex clinical and pharmacy initiatives into analytical frameworks that quantify incremental value and business impact
• Extract, analyze, and interpret claims and financial data from multiple sources to support strategic decision-making
• Assess performance drivers to distinguish the impact of underlying trends from operational initiatives and affordability actions
• Solid ability to partner with clinicians, pharmacists and operators on translating clinical concepts and interventions into a solid, financial model that can be measured appropriately
• Ability to critically evaluate proposed initiatives, challenge unsupported assumptions, and provide independent assessment of modeling approaches to ensure confidence in projected financial results
• Prepare clear financial reporting, insights, and recommendations that support forecasting, leadership decision-making, and affordability strategy
• Take ownership of complex modeling and financial performance issues from discovery and analysis through recommendation, implementation, and follow-up
• Communicate analytical findings and actionable insights effectively to business, finance, and operational stakeholders

Skills

• Bachelor's degree in Actuarial Science, Finance, Accounting, Economics, Business Administration, or a related field
• 3+ years of experience in corporate actuarial, finance, FP&A, financial analysis, accounting, or a related analytical role
• Experience building actuarial models in SQL (Structured Query Language), SAS (Statistical Analysis System) and/or VBA (Visual Basic for Applications)
• Advanced Excel skills (pivot tables, v-look up, formulas, and graphs in Excel)
• Experience conducting complex financial analysis involving claims, performance metrics, forecasts, trends, and variances
• Demonstrated analytical skills with solid attention to detail, accuracy, and data integrity
• Demonstrated ability to communicate financial information clearly to both finance and non-finance partners
• Associate of the Society of Actuaries designation
• Experience supporting pharmaceutical rebate programs
• Demonstrated ability to be self motivated, inquisitive, and quick to learn new business concepts, with a proactive approach to taking initiative
• Experienced with any of the following: Underwriting, Financial Reporting, Government Programs, Medicare Advantage (MA) products, Medicare Bids, and/or VBC modeling

Benefits

• Remote work from anywhere within the U.S.; hires in the Minneapolis or Washington, D.C. area are required to work in the office a minimum of four days per week.
• Comprehensive benefits package (subject to eligibility requirements).
• Incentive programs (subject to eligibility requirements).
• Recognition programs (subject to eligibility requirements).
• Equity stock purchase (subject to eligibility requirements).
• 401k contribution (subject to eligibility requirements).

Company Overview

Company H1B Sponsorship