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.The VP of OptumRx Actuarial, Analytics Underwriting & Pricing Model Development is a key leadership role within the OptumRx Pricing & Underwriting organization. This role leads the Actuarial, Analytics, Model Development, and AI applications teams.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 office and telecommuting from a home-based office in a hybrid work model.Primary Responsibilities:The VP of OptumRx Actuarial, Analytics & Model Development is a key leadership role within the OptumRx Pricing & Underwriting organization. This role leads the Actuarial, Analytics, Model Development, and AI applications teams. Primary functions include:
Actuarial: Leads the organization to develop, maintain and provide organizational understanding of model inputs and assumptions. Leads the organization in trend, rebate, COGS, and SG&A forecasting. Identifies, assesses, and mitigates risk tied to financial guarantees. Maintains accuracy and agility in the underwriting model with respect to OptumRx business initiatives and stays ahead of new regulatory requirements to ensure the Underwriting Model maintains regulatory compliance
AI applications: Drives the Pricing & Underwriting agenda with AI innovation, including Predictive, Generative, and Agentic AI models, in partnership with OptumTech and OptumRx Capabilities, and in accordance with UHG Responsible AI policies Analytics & Reporting: leads analyses to drive accurate inputs into the Underwriting Model and end to end functional reporting to help inform business strategy
Model Development: Develops and maintains best-in-class applications used across the Underwriting Model ecosystem, leveraging the latest innovations in technology in solid partnership with OptumTech. Ensure applications are efficient, accurate, well-integrated with upstream and downstream applications in the OptumRx E2E process. Leads user training, addresses pain points and ensures applications are intuitive and efficient across all underwriting teams
Underwriting & Pricing: Lead strategic bid strategies and decision making through an in-depth understanding of OptumRx and key competitors, industry trends, market dynamics and internal key performance indicators
This role is a Servant Leader across a multi-faceted team-of-teams, creating a culture of high performance and engagement with a solid commitment to employee developmentYou 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:If you don't meet every single requirement, don't let that hold you back - we're just as excited about potential as we are about qualifications and experience, and you could be exactly who we're looking for.
BA or equivalent degree
Proven extensive years of work experience at large, complex, fast-paced organizations
Proven extensive background in the pharmacy business, and solid UHG/Optum enterprise acumen
Demonstrated strategic thinking coupled with a gritty and collaborative approach; ability to move fluidly from strategic to tactical with appropriate balance
Demonstrated judgement to separate what's important vs. 'noise', comfort with ambiguity
Demonstrated deep systems thinking, ability to assess and anticipate program implications on the overall business
Proven ability to quickly synthesize large volumes of information and drive to business decisions
Proven track record managing the delivery of large-scale technology modernization and AI programs
Proven high detail orientation
Proven experience managing scope and resources, and meeting timelines and budget targets
Demonstrated clear and succinct communication capabilities across varied audiences
Demonstrated effective relationship building skills at all levels of the organization
Proven solid business and financial acumen; including solid financial analysis, problem-solving, organization, critical thinking, and time management skills
Demonstrated solid Leadership capabilities, action bias, and ability to communicate effectively and efficiently at multiple levels of large, complex organizations. Must be able to lead, manage and inspire people at all levels within the organization
