UPMC Health Plan's growing Actuary department is seeking an Actuarial Analyst II 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 May represent the department on corporate projects. Receives assistance from either management or senior positions when necessary.
We're looking for:
- Two years of prior working actuarial experience
- At three 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
This role is HYBRID (2x in office a week); interested parties should be local to Pittsburgh, PA or willing to relocate.
Responsibilities:
- 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.
- Assist in the preparation of State and Federal filings.
- 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:
Requirements:
- 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.
- Actively pursuing SOA certification.
- Willing to live in Pittsburgh, PA
Preferences:
- Proficient to expert in SQL and Excel
- Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment
- Data retrieval skills and relational database experience.
Licensure, Certifications, and Clearances: - Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
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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.