Executive Director jobs at HCSC - 23 jobs

Executive Director, Actuarial page is loaded## Executive Director, Actuariallocations: IL - Chicago: TX - Richardsontime type: Full timeposted on: Posted 2 Days Agotime left to apply: End Date: February 27, 2026 (30+ days left to apply)job requisition id: R0047720At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.# # **Job Summary**### The Executive Director, Medicare Part D Actuarial will lead the actuarial function for Medicare Part D products, including Individual MAPD and PDP, with end-to-end accountability for product strategy, pricing, and financial performance. The Executive Director provides actuarial leadership across product strategy, benefit design, formulary and pharmacy network strategies, and is responsible for Medicare Part D bid development and submission, quarterly forecasting, monthly close support, and bid audits. This position reports to the DSVP, Pharmacy Finance and Actuarial and serves as a key strategic partner to senior leaders across Pharmacy, Product, Finance, Compliance, and Operations. The role also acts as the primary actuarial point of contact for external vendors and consultants.### **Key Responsibilities:** ***Medicare Part D Product & Pricing Leadership*** • Lead actuarial strategy for Individual MAPD and PDP products, ensuring financial sustainability, regulatory compliance, and competitive market positioning. • Provide actuarial leadership on product strategy and component strategies, including benefits, formulary, rebate, network, and mail, balancing affordability, growth, and margin objectives. • Partner cross-functionally with Pharmacy, Product, Finance, Compliance, and Operations to align actuarial assumptions with enterprise strategy. ***Bid Development & Financial Management*** • Oversee end-to-end Medicare Part D bid development and submission, including pricing, assumptions, documentation, and internal governance approvals. • Lead quarterly forecast updates and support monthly close activities, ensuring accuracy, transparency, and alignment between actuarial projections and financial results. • Provide actuarial support for annual PBM market checks and negotiations. • Identify key financial risks and opportunities, proactively communicating insights and recommendations to executive leadership. ***Market Intelligence & Strategic Insights*** • Lead Medicare Part D market intelligence, including competitor analysis, CMS policy changes, regulatory guidance, and industry trends. • Translate market insights into actionable recommendations for product design, pricing strategy, and long-term Medicare positioning. Audit, Governance & Compliance • Serve as actuarial lead for CMS bid audits, internal audits, and financial audits, ensuring defensibility of assumptions, data integrity, and timely responses. • Establish and maintain strong actuarial governance, controls, and documentation standards to support regulatory and audit requirements. ***Vendor & External Partner Management*** • Act as the primary actuarial point of contact for external actuarial vendors and consultants. • Oversee vendor scope, deliverables, timelines, and quality, ensuring alignment with business objectives and regulatory expectations. • Leverage external partnerships to enhance modeling sophistication, analytics, and strategic decision-making. ***Leadership & Talent Development*** • Lead, mentor, and develop a high-performing actuarial team supporting Medicare Part D. • Foster a culture of accountability, collaboration, and continuous improvement, with a focus on developing future actuarial leaders. • Set clear priorities, performance expectations, and development plans aligned with organizational goals.**JOB REQUIREMENTS:** \* Bachelor's degree in business, Finance, Actuarial Science, Mathematics, Economics, Computer Science or Management Information Systems. \* 10 years of data, transactional application-based knowledge or group health underwriting experience \* 10 years of management experience, including overseeing two or more departments led by managers. \* Experience in leading one or more major (multi year) group insurance implementation projects \* Experience in leading one of the following: Actuarial Systems or Applications and systems related teams including testing, building, and writing requirements. \* Experience in quality and auditing and system testing (including creating test scripts) \* Experience planning skills including: Setting goals at a position appropriate level, long term planning (one year or longer), budget and expense management, creating staffing models for up to 2 years, establishing department vision \* Problem solving, negotiation skills, and organizational alignment \* Clear and concise verbal and written communication skills. Experience presenting to all levels of management including audiences with diverse communications preferences\*Overseeing the annual budget and allocating resources for various projects and operational needs.\*Translating needs and initiatives into compelling business cases.\*Conducting cost-benefit analyses to justify investments and ensure ROI.**PREFERRED JOB REQUIREMENTS:** • Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field; advanced degree preferred. • FSA designation. • 10+ years of progressive actuarial experience, including significant leadership responsibility in Medicare Part D. • Deep expertise in Medicare Part D pricing, bid development, forecasting, and regulatory requirements. • Strong strategic influence, executive presence, and financial acumen. • Strong understanding of pharmacy benefit economics, including formulary and network strategy impacts. • Proven experience leading CMS bid audits and financial audits, and partnering with external actuarial firms. • Demonstrated ability to communicate complex actuarial and financial concepts clearly to senior leaders and non-technical stakeholders.#LI-TR1#LI-HybridINJLF### ### **Pay Transparency Statement:**At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting .The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.## HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.# # **Base Pay Range**$161,500.00 - $299,700.00Exact compensation may vary based on skills, experience, and location.For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC #J-18808-Ljbffr

A leading health service provider in Washington is seeking an experienced Associate Director of Finance Data Management to support configuration control, data management, and deficiency reporting. This role requires strong collaboration across teams to establish data architecture and adherence to compliance standards. The ideal candidate should have a Bachelor's degree and extensive operational experience within Finance, coupled with a solid understanding of data manipulation and ERP systems. This position also includes a competitive salary and bonus incentives. #J-18808-Ljbffr

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary The Executive Director, Medicare Part D Actuarial will lead the actuarial function for Medicare Part D products, including Individual MAPD and PDP, with end-to-end accountability for product strategy, pricing, and financial performance. The Executive Director provides actuarial leadership across product strategy, benefit design, formulary and pharmacy network strategies, and is responsible for Medicare Part D bid development and submission, quarterly forecasting, monthly close support, and bid audits. This position reports to the DSVP, Pharmacy Finance and Actuarial and serves as a key strategic partner to senior leaders across Pharmacy, Product, Finance, Compliance, and Operations. The role also acts as the primary actuarial point of contact for external vendors and consultants. Key Responsibilities: Medicare Part D Product & Pricing Leadership * Lead actuarial strategy for Individual MAPD and PDP products, ensuring financial sustainability, regulatory compliance, and competitive market positioning. * Provide actuarial leadership on product strategy and component strategies, including benefits, formulary, rebate, network, and mail, balancing affordability, growth, and margin objectives. * Partner cross-functionally with Pharmacy, Product, Finance, Compliance, and Operations to align actuarial assumptions with enterprise strategy. Bid Development & Financial Management * Oversee end-to-end Medicare Part D bid development and submission, including pricing, assumptions, documentation, and internal governance approvals. * Lead quarterly forecast updates and support monthly close activities, ensuring accuracy, transparency, and alignment between actuarial projections and financial results. * Provide actuarial support for annual PBM market checks and negotiations. * Identify key financial risks and opportunities, proactively communicating insights and recommendations to executive leadership. Market Intelligence & Strategic Insights * Lead Medicare Part D market intelligence, including competitor analysis, CMS policy changes, regulatory guidance, and industry trends. * Translate market insights into actionable recommendations for product design, pricing strategy, and long-term Medicare positioning. Audit, Governance & Compliance * Serve as actuarial lead for CMS bid audits, internal audits, and financial audits, ensuring defensibility of assumptions, data integrity, and timely responses. * Establish and maintain strong actuarial governance, controls, and documentation standards to support regulatory and audit requirements. Vendor & External Partner Management * Act as the primary actuarial point of contact for external actuarial vendors and consultants. * Oversee vendor scope, deliverables, timelines, and quality, ensuring alignment with business objectives and regulatory expectations. * Leverage external partnerships to enhance modeling sophistication, analytics, and strategic decision-making. Leadership & Talent Development * Lead, mentor, and develop a high-performing actuarial team supporting Medicare Part D. * Foster a culture of accountability, collaboration, and continuous improvement, with a focus on developing future actuarial leaders. * Set clear priorities, performance expectations, and development plans aligned with organizational goals. JOB REQUIREMENTS: * Bachelor's degree in business, Finance, Actuarial Science, Mathematics, Economics, Computer Science or Management Information Systems. * 10 years of data, transactional application-based knowledge or group health underwriting experience * 10 years of management experience, including overseeing two or more departments led by managers. * Experience in leading one or more major (multi year) group insurance implementation projects * Experience in leading one of the following: Actuarial Systems or Applications and systems related teams including testing, building, and writing requirements. * Experience in quality and auditing and system testing (including creating test scripts) * Experience planning skills including: Setting goals at a position appropriate level, long term planning (one year or longer), budget and expense management, creating staffing models for up to 2 years, establishing department vision * Problem solving, negotiation skills, and organizational alignment * Clear and concise verbal and written communication skills. Experience presenting to all levels of management including audiences with diverse communications preferences * Overseeing the annual budget and allocating resources for various projects and operational needs. * Translating needs and initiatives into compelling business cases. * Conducting cost-benefit analyses to justify investments and ensure ROI. PREFERRED JOB REQUIREMENTS: * Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field; advanced degree preferred. * FSA designation. * 10+ years of progressive actuarial experience, including significant leadership responsibility in Medicare Part D. * Deep expertise in Medicare Part D pricing, bid development, forecasting, and regulatory requirements. * Strong strategic influence, executive presence, and financial acumen. * Strong understanding of pharmacy benefit economics, including formulary and network strategy impacts. * Proven experience leading CMS bid audits and financial audits, and partnering with external actuarial firms. * Demonstrated ability to communicate complex actuarial and financial concepts clearly to senior leaders and non-technical stakeholders. #LI-TR1 #LI-Hybrid INJLF Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $161,500.00 - $299,700.00 Exact compensation may vary based on skills, experience, and location.

Become a part of our caring community and help us put health first The Director of Finance Portfolio Management, Strategy, & Special Projects is a key leadership role responsible for shaping the future state of the Finance function through strategic planning, portfolio oversight, and transformational initiatives. This individual will collaborate closely with senior finance leaders, cross-functional partners, and enterprise stakeholders to set direction, drive execution, and ensure accountability for critical finance projects and change initiatives. This role requires travel into the Humana's Louisville headquarters at least 1 time per month. Provide direction and vision for the Finance function, developing and maintaining a comprehensive 3-5-year strategic roadmap in partnership with senior leaders and stakeholders. Analyze and understand the needs of all Finance towers and the business teams they support to inform target state definition and the approach to achieving it. Establish and lead criteria and processes for initiative prioritization, facilitating decision-making with Finance leadership. Analyzes the financial implications of proposed investments so that senior managers can evaluate alternatives against the organization's business objectives. Define and implement value tracking measures in alignment with Transformation Office (TO) methodology; apply these to prioritized initiatives for ongoing assessment. Collaborate with Finance Towers, Enterprise Transformation Office, IT, Data Governance, and other teams to determine sequencing and dependencies of initiatives; develop detailed plans, KPIs, and value metrics; monitor progress against milestones and budgets. Oversee portfolio management infrastructure, including project reporting and budget tracking; coordinate with other teams to ensure processes are efficient and effective. Manage the finance change portfolio and budget in partnership with IT and Finance teams, ensuring transparency and stakeholder accountability. Lead execution of special projects, including process redesign, automation opportunities, and other high-priority, cross-functional transformation efforts. Prepare and present materials for the Enterprise Transformation Office and other executive-level audiences. Develop and implement training, communication, and capability-building programs; identify skill gaps and create strategies for training and hiring to future-proof the Finance function. Foster collaboration across Finance, acting as the connective tissue to share best practices and facilitate knowledge exchange. Remain current on emerging technologies and their application within Finance, while driving improvements through organizational and process design. Lead and develop a team of approximately four associates, providing mentorship, coaching, and support for career growth and development. Demonstrate exemplary communication and problem-solving skills, synthesizing complex information for diverse audiences. Use your skills to make an impact Required Qualifications Bachelor's degree in Finance, Accounting, Business Administration, or related field; advanced degree preferred. 10+ years experience in finance strategy, portfolio management, and transformational initiatives within a large, complex organization. Proven ability to lead cross-functional teams and manage large-scale projects or portfolios. Strong understanding of finance operations, process improvement, and emerging technologies. Exceptional communication, facilitation, and stakeholder management skills. Demonstrated ability to lead, mentor, and develop high-performing teams (5+ years) Experience in the healthcare industry or other complex, regulated industry is preferred Must be passionate about contributing to an organization focused on continuously improving consumer experiences Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $168,000 - $231,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 02-19-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Executive Director, Medicare Part D Actuarial will lead the actuarial function for Medicare Part D products, including Individual MAPD and PDP, with end-to-end accountability for product strategy, pricing, and financial performance. The Executive Director provides actuarial leadership across product strategy, benefit design, formulary and pharmacy network strategies, and is responsible for Medicare Part D bid development and submission, quarterly forecasting, monthly close support, and bid audits. This position reports to the DSVP, Pharmacy Finance and Actuarial and serves as a key strategic partner to senior leaders across Pharmacy, Product, Finance, Compliance, and Operations. The role also acts as the primary actuarial point of contact for external vendors and consultants. **Key Responsibilities:** **_Medicare Part D Product & Pricing Leadership_** - Lead actuarial strategy for Individual MAPD and PDP products, ensuring financial sustainability, regulatory compliance, and competitive market positioning. - Provide actuarial leadership on product strategy and component strategies, including benefits, formulary, rebate, network, and mail, balancing affordability, growth, and margin objectives. - Partner cross-functionally with Pharmacy, Product, Finance, Compliance, and Operations to align actuarial assumptions with enterprise strategy. **_Bid Development & Financial Management_** - Oversee end-to-end Medicare Part D bid development and submission, including pricing, assumptions, documentation, and internal governance approvals. - Lead quarterly forecast updates and support monthly close activities, ensuring accuracy, transparency, and alignment between actuarial projections and financial results. - Provide actuarial support for annual PBM market checks and negotiations. - Identify key financial risks and opportunities, proactively communicating insights and recommendations to executive leadership. **_Market Intelligence & Strategic Insights_** - Lead Medicare Part D market intelligence, including competitor analysis, CMS policy changes, regulatory guidance, and industry trends. - Translate market insights into actionable recommendations for product design, pricing strategy, and long-term Medicare positioning. Audit, Governance & Compliance - Serve as actuarial lead for CMS bid audits, internal audits, and financial audits, ensuring defensibility of assumptions, data integrity, and timely responses. - Establish and maintain strong actuarial governance, controls, and documentation standards to support regulatory and audit requirements. **_Vendor & External Partner Management_** - Act as the primary actuarial point of contact for external actuarial vendors and consultants. - Oversee vendor scope, deliverables, timelines, and quality, ensuring alignment with business objectives and regulatory expectations. - Leverage external partnerships to enhance modeling sophistication, analytics, and strategic decision-making. **_Leadership & Talent Development_** - Lead, mentor, and develop a high-performing actuarial team supporting Medicare Part D. - Foster a culture of accountability, collaboration, and continuous improvement, with a focus on developing future actuarial leaders. - Set clear priorities, performance expectations, and development plans aligned with organizational goals. **JOB REQUIREMENTS:** * Bachelor's degree in business, Finance, Actuarial Science, Mathematics, Economics, Computer Science or Management Information Systems. * 10 years of data, transactional application-based knowledge or group health underwriting experience * 10 years of management experience, including overseeing two or more departments led by managers. * Experience in leading one or more major (multi year) group insurance implementation projects * Experience in leading one of the following: Actuarial Systems or Applications and systems related teams including testing, building, and writing requirements. * Experience in quality and auditing and system testing (including creating test scripts) * Experience planning skills including: Setting goals at a position appropriate level, long term planning (one year or longer), budget and expense management, creating staffing models for up to 2 years, establishing department vision * Problem solving, negotiation skills, and organizational alignment * Clear and concise verbal and written communication skills. Experience presenting to all levels of management including audiences with diverse communications preferences *Overseeing the annual budget and allocating resources for various projects and operational needs. *Translating needs and initiatives into compelling business cases. *Conducting cost-benefit analyses to justify investments and ensure ROI. **PREFERRED JOB REQUIREMENTS:** - Bachelor's degree in Actuarial Science, Mathematics, Statistics, Economics, or a related field; advanced degree preferred. - FSA designation. - 10+ years of progressive actuarial experience, including significant leadership responsibility in Medicare Part D. - Deep expertise in Medicare Part D pricing, bid development, forecasting, and regulatory requirements. - Strong strategic influence, executive presence, and financial acumen. - Strong understanding of pharmacy benefit economics, including formulary and network strategy impacts. - Proven experience leading CMS bid audits and financial audits, and partnering with external actuarial firms. - Demonstrated ability to communicate complex actuarial and financial concepts clearly to senior leaders and non-technical stakeholders. \#LI-TR1 \#LI-Hybrid INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $161,500.00 - $299,700.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Become a part of our caring community and help us put health first The Associate Director, Service Offering Management enables and assures the management and abilities of the service offering system are controlled, balanced and aligned to the mission and needs of the whole enterprise. The Associate Director, Service Offering Management requires a solid understanding of how organization capabilities interrelate across department(s). The Associate Director, Configuration Management enables and assures the management and abilities of the service offering system are controlled, balanced and aligned to the mission and needs of the whole enterprise. The Associate Director, Configuration Management requires a solid understanding of how organizational capabilities interrelate across department(s). This ITSM Operations position leads Configuration Management Operations (Data Quality, Governance, APM, and Discovery). This highly visible role has the following primary responsibilities: Own the execution and continuous improvement of the IT Configuration framework including governance and control standards, processes, and procedures Lead and define CMDB Data Quality strategic initiatives, goals, and OKR's Support other ITSM processes such as Incident, Change, and Asset Management to consistently align to CMDB process and data requirements Define Configuration Management Completeness, Correctness, and Compliance goals Define CMDB Data Owner responsibility and governance standards Drive Configuration Management Governance and Accountability initiatives across the enterprise Identify and mange processes to close data quality gaps Communicate effectively with business stakeholders and technical team members Identify and drive process automation Team building and performance management Use your skills to make an impact Required Qualifications Bachelor's Degree 6 or more years of technical experience 2 or more years of management experience Experience assessing the impact of change on service quality and SLAs. Experience establishing metrics that can be monitored against a benchmark Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Masters Degree Additional Information Work-At-Home Requirements WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information #LI-Remote Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $129,300 - $177,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

**Become a part of our caring community and help us put health first** The Associate Director, Database Administration manages and maintains all production and non-production databases. Responsible for standards and design of physical data storage, maintenance, access and security administration. The Associate Director, Database Administration requires a solid understanding of how organization capabilities interrelate across department(s). The Associate Director will lead the design, reliability, scalability, and operational excellence of Humana's enterprise data platforms across multi cloud and on-prem environments. This role is responsible for ensuring high availability, performance, security, compliance, and cost efficiency for mission-critical data systems supporting analytics, AI/ML, and customer-facing applications. This leader will partner closely with Application, Data Engineering, Analytics, Product, Security, Finance, and Platform Engineering teams to define and operate standardized, resilient, and automated database platforms across technologies such as SQL Server, Oracle, PostgreSQL, MongoDB, Snowflake, Databricks, and other modern data services. In addition, this role will spearhead the application of AI and Generative AI to database operations and data platform reliability-driving predictive insights, automated remediation, intelligent observability, and operational copilots that reduce manual overhead while maintaining strict healthcare compliance (HIPAA, PHI). **Key Responsibilities:** **Data Platform Strategy & Operations Leadership** + Define and execute the enterprise database and data platform operations strategy across cloud and on-prem environments. + Provide senior-level guidance on platform standards, architectural decisions, lifecycle management, and modernization of relational and non-relational databases. + Establish short-, mid-, and long-term roadmaps for data platform reliability, scalability, automation, and cost optimization. + Lead the operational maturity model for data platforms, aligned with SRE and platform engineering best practices. **Reliability, Availability & SRE for Data Platforms** + Own 24/7 availability and performance of mission-critical database and analytics platforms. + Lead escalated incident, problem, and root cause analysis for data platform outages, performance degradation, and data integrity issues (24/7/365). + Define and improve MTTD / MTTR through proactive monitoring, automation, and AI-assisted diagnostics. + Establish SLOs, SLIs, and error budgets for database and analytics platforms. **Database Operations & Managed Services** + Lead and govern Managed Service Providers (MSPs) supporting database operations across cloud and on-prem environments. + Build and maintain L2/L3 SOPs for database operations, backup/recovery, patching, failover, and disaster recovery. + Oversee change planning, release coordination, and operational readiness for database platform upgrades and migrations. + Support and guide cloud and on-prem database migrations, including legacy modernization initiatives. **Observability, Monitoring & Automation** + Establish enterprise-grade observability for data platforms, including metrics, logs, traces, query performance, and capacity forecasting. + Partner with observability teams to implement event correlation, anomaly detection, and intelligent alerting for databases and data pipelines. + Identify manual operational tasks and drive automation through scripting, APIs, and platform tooling. + Partner with DevOps and Platform Engineering on CI/CD for database changes, schema management, and infrastructure-as-code. **AI & GenAI for Database and Data Platform Operations** + Lead research, prototyping, and adoption of AI/GenAI to enhance database and data platform operations. + Design AI-driven capabilities for: + Predictive capacity and performance forecasting + Automated incident detection and triage + Query and workload optimization recommendations + Intelligent root cause analysis and log summarization + Develop AI copilots and natural-language tools to support database engineers and operations teams. + Integrate LLMs and ML models into observability platforms for real-time insights and self-healing actions. **Security, Compliance & Governance** + Ensure database platforms adhere to security best practices, regulatory requirements, and healthcare compliance standards (HIPAA, PHI). + Partner with Security and Risk teams to continuously assess vulnerabilities, access controls, encryption, and audit readiness. + Define governance standards for data access, retention, backup, and recovery across platforms. **Cost Optimization & FinOps for Data Platforms** + Lead cost transparency, optimization, and forecasting for cloud and on-prem database platforms. + Implement chargeback/showback models for database and analytics consumption. + Partner with Finance and stakeholders to optimize storage, compute, licensing, and usage patterns. + Analyze usage, utilization, and growth trends to reduce total cost of ownership. **Reporting, Metrics & Continuous Improvement** + Define and publish operational dashboards and executive-level reporting for data platform health, cost, and performance. + Analyze operational data to identify trends, risks, and improvement opportunities. + Drive standardization and platform consistency across teams to improve efficiency and reliability. + Act as a trusted advisor on data platform capabilities, limitations, and best practices. **AI / GenAI & Advanced Capabilities** + Experience or strong interest in AI/ML or GenAI applications for operational intelligence. + Familiarity with LLMs, vector databases, predictive analytics, or AI-driven monitoring solutions. Ability to move rapidly from concept → pilot → production for AI-enabled operational enhancements. **Use your skills to make an impact** **Required Qualifications:** + Bachelor's Degree + 10+ years of experience in database, data platform, or infrastructure engineering/operations, with 5+ years in a senior leadership role. + Deep hands-on experience with enterprise database and analytics platforms, such as: + SQL Server, PostgreSQL, MySQL + MongoDB or other NoSQL platforms + Snowflake, Databricks, or similar analytics platforms + Strong understanding of SRE, ITIL/ITSM, and operational best practices for data platforms. + Proven experience operating 24/7, high-availability, mission-critical systems. + Experience applying automation and infrastructure-as-code (Terraform, Ansible, scripting). + Advanced understanding of observability for data platforms (performance, capacity, query analysis). + Strong analytical, reporting, and stakeholder communication skills. + Experience integrating new technologies with existing technologies + Experience implementing technologies with enterprise-wide impact + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Familiarity with Agile methodologies + Healthcare industry experience + Cloud certifications (Azure, AWS, GCP) and/or database platform certifications + Experience with CI/CD pipelines for database and analytics platforms + ITIL, SRE, or Platform Engineering certifications **Additional Information** **Work-At-Home Requirements** + WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. + A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information\#LI-Remote Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $142,300 - $195,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

**Become a part of our caring community and help us put health first** The Director of Finance Portfolio Management, Strategy, & Special Projects is a key leadership role responsible for shaping the future state of the Finance function through strategic planning, portfolio oversight, and transformational initiatives. This individual will collaborate closely with senior finance leaders, cross-functional partners, and enterprise stakeholders to set direction, drive execution, and ensure accountability for critical finance projects and change initiatives. + This role requires travel into the Humana's Louisville headquarters at least 1 time per month. + Provide direction and vision for the Finance function, developing and maintaining a comprehensive 3-5-year strategic roadmap in partnership with senior leaders and stakeholders. + Analyze and understand the needs of all Finance towers and the business teams they support to inform target state definition and the approach to achieving it. + Establish and lead criteria and processes for initiative prioritization, facilitating decision-making with Finance leadership. + Analyzes the financial implications of proposed investments so that senior managers can evaluate alternatives against the organization's business objectives. + Define and implement value tracking measures in alignment with Transformation Office (TO) methodology; apply these to prioritized initiatives for ongoing assessment. + Collaborate with Finance Towers, Enterprise Transformation Office, IT, Data Governance, and other teams to determine sequencing and dependencies of initiatives; develop detailed plans, KPIs, and value metrics; monitor progress against milestones and budgets. + Oversee portfolio management infrastructure, including project reporting and budget tracking; coordinate with other teams to ensure processes are efficient and effective. + Manage the finance change portfolio and budget in partnership with IT and Finance teams, ensuring transparency and stakeholder accountability. + Lead execution of special projects, including process redesign, automation opportunities, and other high-priority, cross-functional transformation efforts. + Prepare and present materials for the Enterprise Transformation Office and other executive-level audiences. + Develop and implement training, communication, and capability-building programs; identify skill gaps and create strategies for training and hiring to future-proof the Finance function. + Foster collaboration across Finance, acting as the connective tissue to share best practices and facilitate knowledge exchange. + Remain current on emerging technologies and their application within Finance, while driving improvements through organizational and process design. + Lead and develop a team of approximately four associates, providing mentorship, coaching, and support for career growth and development. + Demonstrate exemplary communication and problem-solving skills, synthesizing complex information for diverse audiences. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Finance, Accounting, Business Administration, or related field; advanced degree preferred. + 10+ years experience in finance strategy, portfolio management, and transformational initiatives within a large, complex organization. + Proven ability to lead cross-functional teams and manage large-scale projects or portfolios. + Strong understanding of finance operations, process improvement, and emerging technologies. + Exceptional communication, facilitation, and stakeholder management skills. + Demonstrated ability to lead, mentor, and develop high-performing teams (5+ years) + Experience in the healthcare industry or other complex, regulated industry is preferred + Must be passionate about contributing to an organization focused on continuously improving consumer experiences Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $168,000 - $231,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-19-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Business Project Director, Enterprise Site Optimization -Encore (Cigna Retiree Program) As a Business Project Director, you'll drive strategic initiatives that fuel our growth and operational excellence. Join a team of ambitious, compassionate experts who believe in the power of collaboration, innovation, and continuous improvement. If you thrive in dynamic environments and are passionate about making a meaningful difference, we want to meet you. Responsibilities Champion the development and execution of large-scale, cross-functional business projects that align with Evernorth's strategic vision and deliver measurable outcomes. Partner with senior leaders to shape project priorities, investment decisions, and long-term goals. Translate strategic objectives into actionable project plans, roadmaps, and clear success metrics. Lead and inspire cross-functional teams (operations, real estate, technology, IT, HR, and more) to achieve coordinated execution and breakthrough results. Monitor project performance, proactively manage risks, and implement solutions to ensure projects are delivered on time and within scope. Foster a culture of continuous improvement by optimizing processes, workflows, and resource utilization. Serve as the central point of contact for executives and stakeholders, delivering clear updates, insights, and recommendations. Coach, mentor, and develop a team of 3-6 direct reports, empowering them to grow and excel. Identify and champion opportunities to enhance project methodologies, tools, and execution frameworks. Support ad hoc needs as identified by Evernorth Fulfillment leadership. Qualifications Required 8+ years of experience leading complex business, operational, or transformational projects, with a proven record of success in strategic and operational leadership. Demonstrated ability to manage and motivate cross-functional teams in fast-paced, dynamic, and sometimes ambiguous environments. Strong leadership, strategic thinking, and decision-making skills. Excellent communication, negotiation, and stakeholder management abilities. Proficiency in interpreting data, financial models, and KPIs to drive business outcomes. High adaptability and problem-solving skills, with the ability to resolve issues and generate results among diverse groups. Exceptional organizational skills, with the capacity to manage multiple priorities simultaneously. Willingness to travel overnight up to 25%. Preferred Bachelor's degree in Business, Management, Finance, Operations, or a related field; Master's degree preferred. Experience with MS Office (including Excel, Visio, PowerPoint) and MS Project. Experience operating within a complex, matrixed organization. Strong technical understanding to assess value, prioritize initiatives, and solve critical problems. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Associate Director, Customer Success is responsible for defining and executing a winning customer success strategy for Enterprise Imaging Cloud solutions while driving customer retention, satisfaction, and growth through leadership of the Customer Success Manager (CSM) team. This role ensures customers achieve maximum value from our solutions by fostering long-term partnerships, aligning outcomes with business objectives, and validating strategy through cross-functional collaboration. The Associate Director will translate strategy into actionable OKRs and KPIs, maintain and optimize the Customer Success function, and align people, processes, and technology to deliver measurable results in customer value assurance, retention, renewal, and growth. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Support the strategic direction of Customer Success Managers in alignment with business unit objectives and in collaboration w/ leadership stakeholders * Drive Customer Success Management objectives key results, key performance indicators (as derived from strategy) * Ensure Cloud customer success through value assurance services as defined by: * Customer empathy interviews * Customer Success Plans * Data-driven customer health KPIs * Aligned Customer Success Management services * Provide strategic, operational and 1:1 leadership to direct and indirect reports * Support and conduct talent management activities including: * Capacity planning * Hiring profiles * Hiring and onboarding * Ramp-up and performance coaching * Knowledge management and training alignment * Performance and compensation management * Succession planning * Support initiatives based on people, process and technology needs required to achieve customer success. Related deliverables include: * Strategic outline * Business case * Capital allocation request (CAR) * Project plan * Influence cross functional stakeholders to align around customer success strategies and initiatives * Coordinate existing programs and initiatives including (but not limited to): * Voice of the Customer * Customer perception insights * Response playbooks * Customer Journey Mapping * As a means of driving internal accountability * As a means of driving intentional customer experience * Customer Health Scoring * Customer Advocacy Generation * Provide escalation point for customer matters relating to customer success and the "voice of the customer" * Use key performance indicators and customer perception insights to identify and drive process improvement initiatives * Develop customer success strategy and function through best practice research, consultative engagements, and continuous learning * Provide executive status reporting in relation to Customer Success Management with focus on accomplishments, challenges, and mitigations * Foster a customer and employee-centric culture by celebrating success, supporting diversity, and cultivating innovation. 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: * 5+ years in Customer Success and/or Account Management * 3+ years of experience with People Management * Familiarity with customer success platforms (e.g., Gainsight) and CRM systems * Proven track record in strategic planning, customer lifecycle management, and team leadership * Proven solid analytical and problem-solving abilities * Proven excellent communication and stakeholder management skills * Ability to travel 25% of the time Preferred Qualifications: * Experience in medical imaging and clinical workflow * Experience with software-as-a-service business models * Experience with customer success best practices * 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 $112,700 to $193,200 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._ \#UHCPJ

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Associate Director, Eligibility Configuration, is a critical leadership role accountable for setting strategic direction and driving operational excellence across large-scale eligibility and provider attribution processes. The position oversees complex, high-volume operations, ensuring accuracy, timeliness, and compliance while fostering innovation through automation and technology enhancements. The role requires solid collaboration with internal stakeholders, external clients, and technology partners to deliver seamless execution and proactive issue resolution, ultimately supporting accurate payments and provider/member alignment. This role is accountable for 1.8M members, 21 payors with over 1000k eligibility files across 18 markets and 5 platforms. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Set strategic direction and execute business plans to achieve organizational goals and operational excellence * Lead and manage a large team of 150+ employees across multiple staffing models, including domestic, offshore, contractors, and transaction-based billing * Provide operational leadership for eligibility configuration across multiple claim and clinical systems, including Facets, IDX, Monarch, EPIC, and Xcelys * Partner with local markets and finance teams to ensure accurate eligibility reconciliation impacting PMPM (Per Member Per Month) payments from payors * Oversee timely loading of eligibility files and ensure any discrepancies are resolved with high accuracy and speed * Engage with external clients to define and maintain eligibility file requirements, ensuring seamless execution of weekly and monthly processes * Drive automation initiatives by enhancing tools and technology in collaboration with multiple technology partners * Reduce single‑resource and platform‑specific dependencies by building cross‑trained teams and increasing role flexibility to ensure continuity, scalability, and operational resilience * Leverage data analytics to interpret trends, proactively identify issues, and implement corrective actions * Collaborate with market operations leads and issue management teams to research and resolve escalated issues promptly * Partner with Provider Data Operations to improve provider and member attribution accuracy * Ensure claim and clinical readiness for delegation changes by the effective date, maintaining compliance and operational integrity * Lead eligibility configuration and implementation for OptumCare growth, expansions, and de‑delegations, ensuring readiness across platforms and markets * Lead eligibility readiness for the California claims migration to Facets, partnering across technology and market teams to maintain stability and compliance * Represent eligibility operations for OptumCare platforms in governance and enterprise forums, ensuring alignment on standards and execution 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: * 5+ years of leadership experience in healthcare operations * Proven experience in driving operational excellence through process re-engineering and technology integration * Solid understanding of healthcare payor and provider landscapes * Proven ability to collaborate and influence internal and external business partners * Proven success leading matrixed and geographically dispersed teams, including offshore and/or multi market models, while maintaining consistent performance and operational control Preferred Qualifications: * Experience leading eligibility, member, or enrollment operations in a multi‑payor healthcare environment, including ownership of eligibility configuration, file ingestion, and reconciliation processes * Experience driving operational efficiency and workforce flexibility, including balancing capacity to demand, improving resource utilization, and scaling teams to support growth or change initiatives * Experience leading teams through transformation or scale, including onboarding new payors, markets, or platforms without degradation to quality or timeliness * Demonstrated experience with configuration across multiple claim platforms (e.g., Facets, EPIC, IDX, Monarch, Xcelys) within a multi‑market or scaled operating model * Proven success reducing single‑resource and platform‑specific dependencies by implementing cross‑training, standardized work, and shared ownership models * Proven solid verbal, written, interpersonal, and presentation skills * 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 $112,700 to $193,200 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.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Is it time to raise your game? Are you ready to take on a more advanced role in tracking and effectively managing risk? As a member of our high-performance actuarial team, you'll help support UnitedHealth Group's growth and financial goals and while you help shape our future. As an Associate Director of Actuarial Services , you will be empowered, supported and encouraged to use your actuarial expertise as you build and maintain actuarial models to support financial analysis for our Value-Based Care (VBC) business. You'll find an accelerated actuarial development path to support you in your continuing post-graduate education and certification. The successful candidate will have a strong background in actuarial science, a technical skillset to take on complex VBC modeling and the curiosity and desire to become a thought leader in their areas. This position manages analysts responsible for assessing and quantifying risk in risk‑based contracts across the provider organization and developing and maintaining actuarial models used to support contract negotiations You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Onsite in Eden Prairie, MN is preferred. Primary Responsibilities: * Oversee, build and maintain actuarial models used for forecasting, negotiations, and tracking performance risks associated with value-based arrangements * Drive strategic insight into profitability by leading analysis and communication of key drivers, distinguishing impacts from business and regulatory changes versus revenue and medical trends * Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders * Serve as a key resource for risk-taking provider organizations and physician groups * Communicate results and provide recommendations to stakeholders on business performance and strategic actions * Contribute thought leadership, provide actuarial recommendations, and assist Finance leadership with Medicare Advantage, Commercial, and Medicaid risk contracting * Mentor, direct and review work of a team of 1-3 analysts All while working in an environment that allows: * Effective project & time management; Flexibility in your work schedule * Participation in team problem solving; Contribution to team effectiveness * Inclusion into the UHG Actuarial Study Program, including company sponsored study hours and study materials You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree in Actuarial Science, Mathematics, or related field * 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling * 3+ years of experience analyzing and manipulating large healthcare claim datasets * Proficiency in Excel and SQL * Proven excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion Preferred Qualifications: * ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation * 1+ years of experience with any of the following: Government Programs, Financial Reporting, Medicare Advantage (MA) products, Medicare bids, and/or VBC modeling * Experienced in mentoring and/or leading junior analysts * Experienced presenting business insights and summaries to inform decisions to stakeholders * Demonstrated ability to be self‑motivated, inquisitive, and quick to learn new business concepts, with a proactive approach to taking initiative UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. * 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 $112,700 to $193,200 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.

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start **Caring. Connecting. Growing together.** The Internal Investigations and Digital Forensics team, part of UnitedHealth Group's Compliance and Ethics Organization, conducts internal investigations related to allegations of serious employee misconduct, fraud, theft, and other insider risks; provides digital forensic support and analysis to the Enterprise, and coordinates with law enforcement and legal counsel. The Associate Director will conduct complex investigations and digital forensic analyses, in partnership with enterprise stakeholders such as the Enterprise Security and Resilience Office, People Team, Employment Law, Compliance, and Privacy. This role will also provide leadership to other team members, support team operations and strategy, and engage with senior leadership across UnitedHealth Group. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Lead end-to-end investigations related to employee misconduct, to include evidence collection, chain-of-custody documentation, conducting interviews, and writing case summaries and reports + Conduct digital forensic examinations of computers, mobile devices, and other electronically stored information such as system/network logs, email, and other large data sets + Develop and enhance investigative processes which reflect current best practices and industry standards + Develop innovative and efficient solutions to identify, investigate, and mitigate internal risks 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:** + 7+ years of experience in law enforcement, cybersecurity, or related domain conducting investigations into allegations of employee misconduct or violations of state/federal criminal code. This should include 3+ years of experience conducting digital forensic investigations or analysis of operating system artifacts, system/network logs, or other electronically stored information + Experience using digital forensic tools such as X-Ways, Magnet Axiom, Nuix, Cellebrite, and other open-source tools and scripts + Familiarity with technical concepts, to include computer hardware/software, network protocol, and file system structure + Current with new and evolving technologies via formal training and self-directed education, with the ability to conduct ongoing testing and upgrading of digital forensic processes, software, and capabilities + Proficiency with Microsoft Office products (Word, Excel, Outlook, PowerPoint) + Proven exceptional interpersonal and communication skills to conduct investigations, lead cross-functional teams, collect statements and interviews, and report findings to internal employees and leaders **Preferred Qualifications:** + Digital forensics certifications from reputable certification entities, such as GIAC (GCFE and GCFA), IACIS (CFCE), and Cellebrite + Experience leveraging Security Information and Event Management (SIEM) and Data Loss Prevention (DLP) solutions, Microsoft Defender, and Microsoft Purview to detect and investigate intentional misconduct + Experience conducting criminal or civil investigations at the local, state, or federal level + Experience building Insider Threat programs, and/or leading, mentoring, and coaching other employees + Familiarity with cloud computing platforms such as Microsoft Azure and Amazon Web Services *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 $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._ \#uhcpj

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** Is it time to raise your game? Are you ready to take on a more advanced role in tracking and effectively managing risk? As a member of our high-performance actuarial team, you'll help support UnitedHealth Group's growth and financial goals and while you help shape our future. As an Associate Director of Actuarial Services , you will be empowered, supported and encouraged to use your actuarial expertise as you build and maintain actuarial models to support financial analysis for our Value-Based Care (VBC) business. You'll find an accelerated actuarial development path to support you in your continuing post-graduate education and certification. The successful candidate will have a strong background in actuarial science, a technical skillset to take on complex VBC modeling and the curiosity and desire to become a thought leader in their areas. This position manages analysts responsible for assessing and quantifying risk in risk‑based contracts across the provider organization and developing and maintaining actuarial models used to support contract negotiations You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Onsite in Eden Prairie, MN is preferred. **Primary Responsibilities:** + Oversee, build and maintain actuarial models used for forecasting, negotiations, and tracking performance risks associated with value-based arrangements + Drive strategic insight into profitability by leading analysis and communication of key drivers, distinguishing impacts from business and regulatory changes versus revenue and medical trends + Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders + Serve as a key resource for risk-taking provider organizations and physician groups + Communicate results and provide recommendations to stakeholders on business performance and strategic actions + Contribute thought leadership, provide actuarial recommendations, and assist Finance leadership with Medicare Advantage, Commercial, and Medicaid risk contracting + Mentor, direct and review work of a team of 1-3 analysts **All while working in an environment that allows:** + Effective project & time management; Flexibility in your work schedule + Participation in team problem solving; Contribution to team effectiveness + Inclusion into the UHG Actuarial Study Program, including company sponsored study hours and study materials You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in Actuarial Science, Mathematics, or related field + 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling + 3+ years of experience analyzing and manipulating large healthcare claim datasets + Proficiency in Excel and SQL + Proven excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion **Preferred Qualifications:** + ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation + 1+ years of experience with any of the following: Government Programs, Financial Reporting, Medicare Advantage (MA) products, Medicare bids, and/or VBC modeling + Experienced in mentoring and/or leading junior analysts + Experienced presenting business insights and summaries to inform decisions to stakeholders + Demonstrated ability to be self‑motivated, inquisitive, and quick to learn new business concepts, with a proactive approach to taking initiative UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. *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 $112,700 to $193,200 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._

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start **Caring. Connecting. Growing together.** The Associate Director, Actuarial Services will be a key member of the UHG Trend Analytics team, focused on developing and executing medical expense analytics and reporting (e.g. Health Cost Trend Analytics - HCTA) for Optum Care. This role is responsible for leading medical expense reporting processes using standardized and best-in-class trend methodologies to ensure consistent, accurate cost reporting across UnitedHealth Group. The ideal candidate will bring expertise in healthcare data analysis and reporting, strong collaboration skills, and at least 5 years' relevant actuarial experience. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. The Associate Director in this role will work with detailed health care claims data to build and maintain actuarial models to support medical expense reporting, analytics, and forecasting. **Primary Responsibilities:** + Lead the development and execution quarterly medical expense reporting processes for Optum Care + Design and implement analytic methods that promote consistency with enterprise-wide medical cost reporting standards + Develop, maintain, and enhance medical expense reports-ensuring timely delivery of actionable insights to business stakeholders + Collaborate closely with finance, operations, and other analytic teams to drive transparency and alignment in medical trend measurement + Analyze large healthcare datasets to identify trends, variances, and opportunities for cost management + Present findings and recommendations clearly to both technical teams and senior leadership + Support continuous improvement by identifying areas to automate or optimize existing processes + Mentor junior analysts; contribute to team development initiatives + Support ad-hoc analytic requests related to medical expense trends as needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in Actuarial Science, Mathematics, Statistics, or related field + 5+ years of actuarial experience in healthcare analytics or medical expense reporting roles + Experience developing standard analytic methodologies + Advanced or higher level of proficiency with data tools such as Excel/SAS/SQL/Power BI + Demonstrated expertise with healthcare claims data analysis + Proven excellent written and verbal communication skills; able to present technical findings effectively **Preferred Qualifications:** + Credentialed Actuary (FSA or ASA) + Experience in Healthcare Consulting + Experience with project management + Proven solid organizational skills; ability to manage multiple priorities in a matrixed organization *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._ _\#UHCPJ_

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** The Associate Director, Actuarial is a key role within our OptumHealth National Actuarial and Healthcare Economics (HCE) team, responsible for overseeing, executing and communicating key actuarial functions for our Medicare Accountable Care Organizations (ACO) lines of business. This role involves managing resources and deliverables while providing customers in a risk-taking provider organization with business recommendations and contributing to the company's financial success. The successful candidate will have a solid background in actuarial science, a technical skillset to take on complex Value-Based Care (VBC) modeling and the curiosity and desire to become a thought leader in their areas. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Oversee, build and maintain actuarial models used for forecasting and tracking performance risks associated with Medicare ACO lines of business (ACO REACH, MSSP/Medicare Shared Saving Programs) + Analyze revenue/claim data from multiple sources and translate complex concepts in ways that can be understood by a variety of audiences including senior leaders + Serve as a key resource for risk-taking provider organizations and physician groups + Communicate results and provide recommendations to stakeholders on business performance and strategic actions + Contribute thought leadership and assist customers with evaluating and implementing new and existing Value-Based Care (VBC) programs + Mentor, direct and review work of a team of 1-2 analysts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in Actuarial Science, Mathematics, or related field + 5+ years of actuarial experience with foundational literacy in healthcare analytics and modeling + 3+ years of experience analyzing and manipulating large healthcare claim datasets + Proficiency in Excel and SQL + Excellent problem-solving and communication skills, along with critical thinking skills to anticipate questions from key stakeholders and consider all aspects of a deliverable before completion **Preferred Qualifications:** + ASA/FSA, or progress toward ASA or FSA (Associate/Fellowship of the Society of Actuaries) designation + Experienced with any of the following: Government Programs, Medicare Advantage (MA) products, CMS ACO/Alternative Payment Models, and/or VBC modeling + Experience presenting business insights and summaries to inform decisions to stakeholders + Ability to self-motivate, quickly learn new business concepts and take initiatives *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._

Explore opportunities with Mederi Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Executive Director, you will serve as the Administrator of the entire home health provider and is responsible for the oversight of the day-to-day operations. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with management staff and other departments throughout the company. **Primary Responsibilities:** + Coordinates and completes assigned projects to effectively support the immediate and long-range objectives of the company + Oversees the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care + Implements and maintains administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations + Enhances the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered 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 Registered Nurse licensure with at least 1 year supervisory or administrative experience in a home healthcare or a related field + Current CPR certification + Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation **Preferred Qualifications:** + Home care experience + Ability to manage multiple tasks simultaneously + Able to work independently + Good communication, writing, and organizational skills 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. **\#LHCJobs** _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._

Explore opportunities with Mederi Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Executive Director, you will serve as the Administrator of the entire home health provider and is responsible for the oversight of the day-to-day operations. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with management staff and other departments throughout the company. Primary Responsibilities: * Coordinates and completes assigned projects to effectively support the immediate and long-range objectives of the company * Oversees the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care * Implements and maintains administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations * Enhances the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered 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 Registered Nurse licensure with at least 1 year supervisory or administrative experience in a home healthcare or a related field * Current CPR certification * Current driver's license and vehicle insurance, access to a dependable vehicle, or public transportation Preferred Qualifications: * Home care experience * Ability to manage multiple tasks simultaneously * Able to work independently * Good communication, writing, and organizational skills 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. #LHCJobs 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.