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UPMC Senior Communities

UPMC Senior Communities

Behavioral Health Actuarial Analyst

Behavioral Health Actuarial Analyst

Job Details
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Uploaded On
June 1, 2024
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Location
Pittsburgh, United States
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Remote?
No
Company Overview
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Headquarters
Pittsburgh, PA
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Number of Employees
11000
Estimated Number of Actuaries
8
Salary
$
56
k-$
96
k
Glassdoor Ratings
""
Recommend to a Friend
53%
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Overall Score
3.3 / 5

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We are UPMC, and we are changing health care for the better. With 96,000 employees, 40 hospitals, 800 doctors' offices and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day. Whoever you are and whatever you'd like to do, UPMC has a place for you.

UPMC Health Plan's growing Actuary department is seeking two additional Analyst I's to assist with their Behavioral Health pricing and reserving! 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. May represent the department on corporate projects. Receives assistance from either management or senior positions when necessary.

Preferences:
  • Prior working actuarial experience: internship or full-time
  • At least one passed actuarial exam and working towards SOA credential
  • Desire to learn and expand skillset as it relates to Behavioral Health
  • Interest in pricing, reserving, trend/health economics, provider network analysis, risk adjustment

This role is HYBRID (2x in office a week); interested parties should be local to Pittsburgh, PA or willing to relocate.

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:

Requirements:
  • Bachelor's degree in mathematics, statistics, actuarial science, economics or related field.
  • Prior working actuarial experience: internship or full-time
  • One or more actuarial examinations passed.
  • Actively pursuing SOA certification.
  • Able to work in Pittsburgh, PA

Preferences:
  • Desire to learn and expand skillset as it relates to Behavioral Health
  • Interest in pricing, reserving, trend/health economics, provider network analysis, risk adjustment
  • Excellent problem solving and analytical skills.
  • Good oral and written communication skills.
  • 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.

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