UPMC Health Plan's Medicaid/Government Product actuarial team is seeking an Actuarial Analyst II to support the team's Medicaid program work.
This position applies knowledge of mathematics, probability and statistics to identify issues, and gather and analyze data on a wide variety of topics affecting the financial performance of the health plan. They may represent the department on corporate projects and receive assistance from either management or senior positions when necessary. The Medicaid Actuarial team supports PA Medicaid programs, and this role will focus on support for pricing and other work related to the Medicaid Long-Term Services and Support and Medicaid Physical Health programs.
This role can be remote within the continental US.
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Responsibilities:
• Assist in the preparation of State and Federal filings.
• Medical cost and utilization trend analysis.
• Provide ad hoc data analysis to all departments within the company.
• Development of claim reserves (IBNR)
• Provide analytical support for rate development and filings;
• Assist in the preparation of financial analyses.
• Present results of analyses and recommendations to management.
• Forecasting.
• Completion factors using claim lag analysis models;
• Document methods, procedures and results.
• Assist senior actuarial positions in the development of mathematical models in connection with other departments to predict the impact of proposed changes. Responsible for production of standard actuarial reports and projects as assigned.
Qualifications:
- Bachelor's degree in mathematics, statistics, actuarial science, economics or related field and 2 years of experience in statistical analysis or actuarial work; or equivalent training, education and/or experience in health care financing.
- 3 actuarial examinations passed or appropriate experience.
- Experience working on Medicaid LTSS or any other Medicaid programs preferred.
- 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.
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.