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 Associate Director, Regulatory Affairs - Pricing & Underwriting, will provide regulatory leadership and subject‑matter expertise in support of Optum Rx Pricing & Underwriting activities. This role is responsible for interpreting, assessing, and operationalizing complex federal and state regulatory requirements, ensuring pricing and underwriting strategies remain compliant, defensible, and aligned with evolving regulatory expectations.
In this role you will partner closely with actuarial, finance, underwriting, legal, compliance, and product teams to evaluate regulatory impacts on business initiatives, develop clear guidance, and influence decision‑making. The role will lead regulatory analyses and proactively monitor regulatory developments that may affect pricing methodologies, underwriting practices, and product design.
This position requires strong analytical judgment, the ability to translate regulatory requirements into practical business solutions, and the leadership skills to guide stakeholders through ambiguity. The Associate Director will also contribute to governance forums, support risk assessments, and help shape the regulatory strategy for Optum Rx Pricing & Underwriting.
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 and telecommuting from a home-based office in a hybrid work model.
Primary Responsibilities:
Provide regulatory leadership and subject‑matter expertise in support of Optum Rx Pricing & Underwriting activities
Interpret and assess federal and state regulatory requirements impacting pricing methodologies, underwriting practices, and product design
Translate complex regulatory requirements into clear, actionable guidance for actuarial, pricing, underwriting, and business partners
Partner cross‑functionally with Legal, Compliance, Actuarial, Product, and Operations teams to ensure regulatory compliance across initiatives
Lead regulatory impact assessments for new products, pricing strategies, and underwriting models
Monitor and evaluate emerging regulatory developments, proactively assessing business risk and operational impact
Contribute to governance forums and risk management processes, including issue escalation and mitigation strategies
Develop and maintain regulatory documentation, interpretations, and internal guidance materials
Mentor junior analysts and influence best practices for regulatory analysis and decision‑making within Pricing & Underwriting
You will be rewarded and recognised 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 in actuarial, business, economics, health policy, law, or a related field
Proven experience in regulatory analysis, compliance, actuarial, pricing, underwriting, or a related healthcare or pharmacy benefit environment
Demonstrated experience interpreting and applying complex regulations impacting pricing and underwriting
Proven ability to work cross‑functionally with actuarial, legal, compliance, product, and business stakeholders
Preferred Qualifications:
Master's degree in a regulatory focused discipline
Prior experience within a pharmacy benefit manager (PBM)
Experience supporting pricing and underwriting activities for complex or regulated healthcare products
Familiarity with U.S. healthcare regulatory environments relevant to pharmacy, pricing, and underwriting
Experience participating in or presenting to regulatory, governance, or risk committees
Prior experience mentoring or leading analysts in a matrixed organization
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 marginalised 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. © 2025 Optum Services (Ireland) Limited. All rights reserved.
