The Korean freelancer oversees the quality of the Korean surveys delivered by the Evaluators by proofreading them. He/she makes sure that the information provided is up to the Company’s standards before it is delivered to the Client. -        Be responsible of the quality delivered, making sure it is aligned with the Company’s standards before the surveys are published to the client -        Ensure of the timely validation of the surveys -        Get in touch with the Korean evaluators or Operation Executives for additional information -        Be professional under any circumstances when representing the Company. -        Compensation: 8000 KRW/survey (approximately 3-4 surveys can be validated per hour).

Requisition Number: 2353900 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Associate Director of Healthcare Economics - Network Pricing supports Provider Network contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting (VBC agreements, physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.). This onsite/hybrid/telecommute position engages our West Region team conducting ACO support along with unit cost and contract valuation analysis related to provider negotiations and medical cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Develop and execute data management strategies with business partners in United Health Networks and United Health Clinical to help our contracted entities/internal partners be successful - Provide consultative advice on use of data as subject matter expert and interpret/summarize analytical findings - Collaborate with partners to identify, investigate, and communicate cost and utilization patterns for inefficiencies and potential opportunities in various member populations to help reduce overall total cost of care - Solves complex problems and finds innovative sustainable solutions - Influence pricing strategies and network configuration decisions using a data driven approach - Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types - Work with cross-functional teams across the organization to make strategic decisions supported by data - Serve as subject matter expert on data, reporting and methodologies supporting our contracts and relationships - Resolve business problems and direct others to resolve business problems that affect multiple functions or disciplines - Make decisions about product, service or process decisions that will impact multiple functions and/or customer accounts (internal or external) This role will involve extensive external meetings, and some travel, to negotiate with providers, share performance results and explain complex financial models. 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 experience in creating and using financial modeling tools, spreadsheets, and information acquisition tools including experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts - 3+ years of healthcare managerial experience - Moderate or higher level experience with SAS and SQL - Demonstrated career progression within healthcare economics, health care pricing, network management, or related discipline - Proficiency in MS Excel - Well versed in PowerPoint - Ability to travel 15% of the time within the West US Region - Telecommute or office-based focused on supporting West Region office locations (PST OR MST) Preferred Qualifications: - Postgraduate degree - 3+ year of experience working with large databases to produce a focused analysis with proficiency in SAS/SQL for data manipulation and reporting - Detailed knowledge of Commercial, Medicare, and Medicaid payment methodologies for hospital, ancillary, and physician services - Expert level of proficiency in performing financial impact analysis, risk management, and claims data manipulation - Experience with advanced statistical functions for financial modeling - Successful leadership experience - Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling - Moderate proficiency in Power BI, Tableau or other analytic visualization software - Advanced written and verbal communications skills including negotiation and presentation *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.

Job Description Blue Cross NC is seeking a Senior Actuarial Analyst – Pharmacy Benefit Oversight to join our growing Pharmacy Analytics team. As a key profit driver for our enterprise, this role offers the opportunity to directly impact our bottom line through strategic Pharmacy Benefit Manager (PBM) oversight. You will leverage your technical acumen to build advanced models, analyze formulary performance, manage pharmacy net cost trends, and provide actionable insights to senior leadership. What You’ll Do - Model Building & Process Improvement: Design, develop, and maintain new actuarial models and analytical processes to evaluate PBM performance, vendor contracts, and pharmacy claims data. - Formulary Modeling & Strategy: Perform in-depth formulary modeling to drive lowest net cost strategies, optimizing pharmacy benefit offerings for financial and clinical outcomes. - Trend Management: Actively monitor, analyze, and manage pharmacy net cost trends (ingredient cost, rebate optimization, utilization). - Data Analytics & Insights: Proactively review advanced data analytic methods and identify opportunities to improve existing team processes. - Collaboration & Communication: Partner with pharmacy operations, clinical teams, underwriting, and finance to align on assumptions and drive cross-functional value. What You Bring - Bachelor's degree or advanced degree (where required) - 4+ years of experience in relevant actuarial experience. Related experience may be considered. - Must have completed 5 or more exams towards the eventual attainment of the ASA designation. - In lieu of meeting minimum exam requirements, may consider additional relevant experience. - In lieu of meeting minimum experience requirement, may consider ASA or more exams towards the eventual attainment of ASA. Bonus Points - Expert-level knowledge of SAS, SQL, and advanced Excel – Highly Preferred - Experience building complex financial models – Highly Preferred - Proven ability to communicate complex actuarial concepts to non-actuarial stakeholders and senior management. - Experience with formulary utilization management optimization – Highly Preferred - Highly organized, detail-oriented, and able to work independently in a fast-paced environment. - Strong critical thinking and creative problem-solving skills. What You’ll Get - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution  - Learn more   Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $98,092.00 - $156,947.00 Skills Actuarial Analysis, Actuarial Consulting, Actuarial Science, Business Analysis, Complex Project Management, Financial Modeling, Hiring Management, People Management, Risk Assessments, Valuation Analysis_____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

Job Description Blue Cross NC is seeking a Principal Actuary to join our Pharmacy Analytics team as a senior individual contributor. In this role, you will play a pivotal part in shaping and advancing our Pharmacy strategy by applying deep actuarial expertise and advanced analytical skills to support critical actuarial functions and strategic decision‑making. The Principal Actuary will collaborate closely with cross‑functional partners, business leaders, and actuarial peers to translate complex data into actionable insights that drive business outcomes. This role offers the opportunity to lead complex initiatives, influence best practices, and provide project‑based leadership and mentorship, while maintaining a strong hands‑on focus. What You’ll Do - Actively contributes to the success of the Actuarial Services team. - Responsible for handling highly complex actuarial modeling. - Leads and/or provides consultative support to assigned projects and is viewed as an expert in the field. - Assists in pharmacy pricing for all commercial segments - Develop/Maintain self-funded pharmacy pricing model. Works within team to model updates and coordinates implementation with underwriting. - Perform Pharmacy Trend analysis - Communicates and collaborates effectively with key pharmacy stakeholders on relevant pharmacy topics - Assists in support for Financial Forecasting - Support evaluation of financial impacts of PBM and other vendors - Works effectively with external vendors, including PBM partner contacts - Continuing Education: - Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries) - Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation What You Bring - Bachelor's degree or advanced degree (where required) - Associate of the Society of Actuaries(ASA) and Member of the American Academy of Actuaries (MAAA) - 5+ years of experience in related field - In lieu of an ASA, alternate actuarial credentials may be considered. - In lieu of 5 years of experience, may consider candidates who are Fellows of the Society of Actuaries (FSA). Bonus Points - Experience with Pharmacy Analytics is – Highly Preferred - Excellent verbal and written communication skills, with the ability to explain complex financial/actuarial information to non-technical audiences and senior leadership. - Proven ability to build relationships and work effectively with internal and external partners. – Highly Preferred - Exceptional analytical and creative problem-solving skills. - Ability to work effectively in a team-based, collaborative environment. - Self-motivated, resourceful, and able to work independently in a fast-paced, high-growth environment. What You’ll Get - The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community. - Work-life balance, flexibility, and the autonomy to do great work. - Medical, dental, and vision coverage along with numerous health and wellness programs. - Parental leave and support plus adoption and surrogacy assistance. - Career development programs and tuition reimbursement for continued education. - 401k match including an annual company contribution  - Learn more   Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $118,691.00 - $189,906.00 Skills Actuarial Analysis, Actuarial Modeling, Actuarial Science, Actuarial Services, Benefits Analysis, Financial Analysis, Office Administration, Pharmacy_____________________________________________________________________ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.