Director Actuarial Services

UnitedHealth Group View all jobs

  • Dublin
  • Permanent
  • Full-time
  • 17 days ago
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.What makes your Actuarial career greater with UnitedHealth Group? Actuaries are the decision-making engine for our business, that is why we support you from day one. We offer a competitive study program with paid time off to study, expense reimbursement for study materials and pay raises for passing exams. Advancement, access to data, variety of product lines, and rewards for delivering on our mission ensures you will always be challenged to do your best. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of our organization.The UnitedHealthcare Out of Network team solve complex data, medical, legal and negotiation problems for our members. As Director of Actuarial Services, you will play a pivotal role in this team by applying your actuarial training to understand some of the most pressing challenges in the U.S. healthcare system. Join us and be part of a dynamic team that is making a real difference in the lives of millions.Schedule: Full-time position with standard working hours of Monday - Friday, 9am - 5pm.Careers with Optum offer flexible work arrangements and individuals who live and work in the Republic of Ireland will have the opportunity to split their monthly work hours between our Dublin or Letterkenny office and telecommuting from a home-based office in a hybrid work model. This position will involve 3 days in the office per week.Primary Responsibilities:
  • Ideate and develop impactful reporting solutions, taking full ownership of projects from problem framing and data exploration to model development, deployment, and monitoring
  • Understand the business and member impact of legislation driving Out of Network (OON) Claim solutions. Use this to develop and report on vital metrics including OON trend
  • Understand the OON key drivers of cost and develop affordability strategies to reduce the total cost of care
  • Lead by example by communicating clearly with stakeholders and understanding how our reporting, product and program life cycle can be elevated
  • Combine detailed understanding of the OON business with high level strategic view. Develop commercial solutions by understanding the underlying factors and key cost drivers involved
  • Contribute to the evolution of our reporting and actuarial/data science infrastructure, working with platform teams to enhance tooling for experimentation, model monitoring, and reproducibility
  • Collaborate closely with business and technical leadership, acting as a strategic thought partner to shape the roadmap for data-driven innovation across claims data, program management, and member experience
  • Drive cross-functional initiatives, using experimentation, and advanced analytics to define success metrics and guide decision-making
  • Translate complex healthcare data into actionable insights, integrating diverse data sources to build a comprehensive view of network behavior, risk, and opportunity
  • Proactively surface emerging risks and opportunities, using anomaly detection, fraud analytics, and pattern recognition to inform strategic interventions
  • Represent the Out of Network function in executive forums, clearly communicating technical insights and their strategic implications to influence decisions and investments
  • Develop your understanding of healthcare and the U.S. healthcare system, ensuring that solutions are context-aware, commercially viable and impactful
  • Support senior management as needed, with business initiatives and strategic vision
Your leadership skills will be put to the test in this role. Not only will you be leading a new team driven and focused team, senior management will be turning to you to drive business results and provide actuarial direction to support accurate pricing. You will also need to develop the new team and lead the growth of this team going forwardYou will 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 providing development for other roles you may be interested in.Required Qualifications:
  • Bachelor's Degree (or higher) in a quantitative field such as mathematics, statistics, computer science, actuarial science, engineering, or related discipline
  • Qualified Actuary with extensive experience
  • Proven experience in SQL and Excel with a track record of building reporting & data solutions
  • Proven experience applying reporting and data solutions to real-world business challenges, driving measurable impact
  • Demonstrated ability to solve complex technical problems with a hands-on approach
  • Demonstrated communication skills, with the ability to explain technical concepts to diverse audiences and influence decision-making
  • Demonstrated leadership in collaborative, cross-functional settings, including mentoring and setting technical direction
Preferred Qualifications:
  • Proven experience working with health care claims experience (i.e., understanding of costs, expected claims, benefit pricing)
  • Proven supervisory experience of actuarial students and/or support staff
  • Demonstrated data management skills in SQL or similar environment
  • Demonstrated programming skills (R, Python or similar)
Please note you must currently be eligible to work and remain indefinitely without any restrictions in the country to which you are making an application. Proof will be required to support your application.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to gender, civil status, family status, sexual orientation, disability, religion, age, race, and membership of the Traveller community, or any other characteristic protected by law. Optum is a drug-free workplace. © 2026 Optum Services (Ireland) Limited. All rights reserved.#BBMEMEA

UnitedHealth Group