UPMC Health Plan's growing Actuary department is seeking an Actuarial Analyst to assist with their Value-Based Contracting work! This position applies knowledge of mathematics, probability and statistics in order to identify issues, gather and analyze data on a wide variety of topics affecting the financial performance of the health plan.
This role is HYBRID (2x in office a week); interested parties should be local to Pittsburgh, PA or willing to relocate.
We're looking for:
- Prior working actuarial experience
- At least one exam passed actuarial exam and working towards SOA credential
- Desire to learn and expand skillset as it relates to Value-Based Contracting
- Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment
- Proficient to expert in SQL and Excel
Responsibilities:
- Document methods, procedures and results.
- Medical cost and utilization trend analysis.
- Assist senior actuarial positions in the development of mathematical models in connection with other departments to predict the impact of proposed changes.
- Completion factors using claim lag analysis models.
- Present results of analyses and recommendations to management.
- Development of claim reserves (IBNR).
- Forecasting.
- Provide analytical support for rate development and filings.
- Assist in the preparation of State and Federal filings.
- Assist in the preparation of financial analyses in support of the following functions:
- Provide ad hoc data analysis to all departments within the company.
Qualifications:
- Bachelor's degree in mathematics, statistics, actuarial science, economics or related field.
- Some experience in statistical analysis or actuarial work; preferred.
- 1 or more actuarial examinations passed.
- Actively pursuing SOA certification.
- Excellent problem-solving and analytical skills.
- Good oral and written communication skills.
- Strong PC skills.
- Data retrieval skills and relational database experience.
- Works independently.
- Willing to live in Pittsburgh, PA
Licensure, Certifications, and Clearances: - Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Working at
UPMC Senior Communities
UPMC Senior Communities is a reputable and leading provider of senior living and healthcare services. With a strong commitment to exceptional care, UPMC Senior Communities offers a range of options including independent living, assisted living, and memory care. As an actuary at UPMC Senior Communities, you'll be part of a dedicated team that plays a crucial role in managing risks and ensuring the financial stability of the organization. Actuaries utilize their expertise in statistical modeling, data analysis, and risk assessment to evaluate risks, develop pricing strategies, and provide insights that support evidence-based decision-making. Collaborating with cross-functional teams, actuaries at UPMC Senior Communities contribute their analytical skills to optimize financial resources, forecast trends, and develop strategies that enhance the financial health of the organization. Actuaries analyze complex data sets, assess risks, and provide recommendations that help in providing quality care to seniors while maintaining a sustainable financial model. UPMC Senior Communities values professional growth and offers ongoing training and development opportunities for actuaries. Actuaries have the chance to enhance their skills, stay up to date with industry advancements, and contribute to the success of providing exceptional care to seniors. Join UPMC Senior Communities' esteemed actuarial team and embark on a rewarding career where you can apply your actuarial expertise, make a meaningful impact on the lives of seniors, and enjoy competitive benefits in a supportive and compassionate work environment.